NATHANIEL GREGG DENICOLA MD
NPI 1225205651
Obstetrics & Gynecology - Gynecology in Orange, CA

Active since May 14, 2008PECOS EnrolledAccepts Medicare Assignment
101 THE CITY DR S, ORANGE, CA 92868(714) 456-8888 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 24, 2026, Sep 12, 2025, Feb 18, 2025 and 1 more (4 updates tracked since 2016).

About Nathaniel Gregg Denicola Md NPPES

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

NATHANIEL GREGG DENICOLA MD (NPI 1225205651) is an individual gynecology provider in Orange, California, licensed in California (C170127) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Newport Beach, and is a graduate of University Of California, Irvine, California College Of Medicine (2006).

NPPES Registry Identity

NPI1225205651
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameNATHANIEL GREGG DENICOLACredential: MD
Location Address101 THE CITY DR SOrange, CA 92868-3201
Mailing Address101 The City Dr SOrange, CA 92868-3201 · (714) 456-8888
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2006
Enumeration DateMay 14, 2008
Last NPPES UpdateMarch 24, 20264 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1225205651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in CA · C170127
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
101 THE CITY DR S, Orange, CA 92868

Secondary Practice Location 1

Location 1320 Superior Ave Ste 290Newport Beach, CA 92663-6140 · Phone (949) 375-8244 · Fax (949) 398-9812

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 Gregg Denicola Md 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 ID3779752860
PECOS Enrollment IDI20201123001980
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 Reassignments

5

Medicare enrollment records show Nathaniel Denicola reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
101 CITY DRIVE SOUTH, BLDG 56 SUITE 800
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 149 clinicians in this Medicare group
Family Medicine
18200 YORBA LINDA BLVD STE 250
Yorba Linda, CA 92886
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
Primary Care
510 SUPERIOR AVE
Newport Beach, CA 92663
  • Reassigned Medicare billing, California enrollment
  • 529 clinicians in this Medicare group
General Acute Care Hospital
EAST HIGHWAY 18
Pine Ridge, SD 57770
  • Reassigned Medicare billing, Texas enrollment
  • 426 clinicians in this Medicare group
Anesthesiology
2150 PENNSYLVANIA AVE NW, SUITE 10-409A
Washington, DC 20037
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,275 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868

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 Denicola's NPI number?

The NPI number for Nathaniel Denicola is 1225205651. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Nathaniel Denicola located?

Nathaniel Denicola practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 456-8888.

What is Nathaniel Denicola's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Nathaniel Denicola enrolled in Medicare?

Yes. Nathaniel Denicola is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nathaniel Denicola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Denicola reassigns Medicare benefits to 5 organizations: Regents Of The University Of California (Orange, CA), Caduceus Physicians Medical Group (Yorba Linda, CA), Hoag Clinic (Newport Beach, CA), Pine Ridge Indian Health Service Hospital (Pine Ridge, SD) and Medical Faculty Associates, Inc (Washington, DC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathaniel Denicola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathaniel Denicola was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.