NATHANIEL JAMES LUKETICH MD
NPI 1467393439
Student in an Organized Health Care Education/Training Program in Cincinnati, OH

Q: What is Nathaniel Luketich's NPI number?

The NPI number for Nathaniel Luketich is 1467393439. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Q: What is Nathaniel Luketich'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 April 03, 2026PECOS Enrolled

3188 BELLEVUE AVE, CINCINNATI, OH 45219(513) 558-4592(513) 558-2220 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Apr 7, 2026, Apr 3, 2026 (2 updates tracked since 2026).

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About Nathaniel James Luketich Md NPPES

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

NATHANIEL JAMES LUKETICH MD (NPI 1467393439) is an individual student in an organized health care education/training program in Cincinnati, Ohio and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467393439

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNATHANIEL JAMES LUKETICHCredential: MD

Location Address3188 BELLEVUE AVECincinnati, OH 45219-2369

Mailing Address3188 Bellevue AveCincinnati, OH 45219-2369 · (513) 558-4592 · Fax (513) 558-2220

Phone(513) 558-4592

Fax(513) 558-2220

Sole ProprietorNo

Enumeration DateApril 3, 2026

Last NPPES UpdateApril 7, 20262 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1467393439 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.

3188 BELLEVUE AVE, Cincinnati, OH 45219

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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 James Luketich 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.

RHEA RUBIN M.D.

Internal Medicine (Critical Care Medicine)