NATHANIEL FLEISCHER
NPI 1063973352
Student in an Organized Health Care Education/Training Program in Grove City, OH

Q: What is Nathaniel Fleischer's NPI number?

The NPI number for Nathaniel Fleischer is 1063973352. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Q: What is Nathaniel Fleischer's specialty?

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

Active since March 28, 2019PECOS EnrolledAccepts Medicare Assignment

2030 STRINGTOWN RD STE 300, GROVE CITY, OH 43123(614) 544-0101(614) 544-0176 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nathaniel Fleischer NPPES

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

NATHANIEL FLEISCHER (NPI 1063973352) is an individual student in an organized health care education/training program in Grove City, Ohio and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063973352

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNATHANIEL FLEISCHER

Location Address2030 STRINGTOWN RD STE 300Grove City, OH 43123-3993

Mailing AddressPo Box 675945Rancho Santa Fe, CA 92067-5945 · (858) 243-2279

Phone(614) 544-0101

Fax(614) 544-0176

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 28, 2019

Last NPPES UpdateNovember 21, 2022

✔ NPI 1063973352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

2030 STRINGTOWN RD STE 300, Grove City, OH 43123

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathaniel Fleischer is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305214354

PECOS Enrollment IDI20221122002111

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.

Medicare Billing Reassignment

Medicare enrollment records show Nathaniel Fleischer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

1,948 mi

Health Maintenance Organization

4647 ZION AVE
San Diego, CA 92120

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DYLAN WARREN DO

Student in an Organized Health Care Education/Training Program