NATHANIEL BLUCKER MD
NPI 1013757640
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since May 30, 2024PECOS Enrolled
1120 W MICHIGAN ST, INDIANAPOLIS, IN 46202(317) 278-2694 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathaniel Blucker Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHANIEL BLUCKER MD (NPI 1013757640) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013757640
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNATHANIEL BLUCKERCredential: MD
Location Address1120 W MICHIGAN STIndianapolis, IN 46202-5209
Mailing Address1120 W Michigan StIndianapolis, IN 46202-5209 · (317) 278-2694
Sole ProprietorNo
Enumeration DateMay 30, 2024
NPPES CertifiedMay 29, 2024
NPI 1013757640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1120 W MICHIGAN ST, Indianapolis, IN 46202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nathaniel Blucker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Psychiatry & Neurology (Neurology)
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Internal Medicine
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Internal Medicine (Critical Care Medicine)
1120 W MICHIGAN ST, GATCH HALL CL 285
INDIANAPOLIS, IN 46202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathaniel Blucker's NPI number?

The NPI number for Nathaniel Blucker is 1013757640. It was assigned to this individual provider in the NPPES registry on May 30, 2024.

Where is Nathaniel Blucker located?

Nathaniel Blucker practices at 1120 W Michigan St, Indianapolis, IN 46202. The listed phone number is (317) 278-2694.

What is Nathaniel Blucker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathaniel Blucker enrolled in Medicare?

Yes. Nathaniel Blucker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathaniel Blucker was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.