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DR. NATHANIEL MACK MD
NPI 1811832603
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since April 20, 2026PECOS Enrolled
376 W 10TH AVE, COLUMBUS, OH 43210(661) 429-3830 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Nathaniel Mack Md NPPES

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

DR. NATHANIEL MACK MD (NPI 1811832603) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811832603
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NATHANIEL MACKCredential: MD
Location Address376 W 10TH AVEColumbus, OH 43210-1280
Mailing Address376 W 10th AveColumbus, OH 43210-1280
Phone(661) 429-3830
Sole ProprietorNo
Enumeration DateApril 20, 2026
NPPES CertifiedApril 20, 2026
✔ NPI 1811832603 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.
376 W 10TH AVE, Columbus, OH 43210
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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)

Dr. Nathaniel Mack 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.

KUSHAL NANDAM M.D.
Emergency Medicine
376 W 10TH AVE, 760 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551
ANDREW DAVID YOCUM M.D.
Emergency Medicine
376 W 10TH AVE, 750 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551
JENNA LYNN GUNN MD
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-6194
KEVIN RIVERA
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8306
SPENCER TALENTINO
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-6194
LEON LIN MD
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3570
LOGAN ROEBKE
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-6194
JOSHUA S EVERHART MD
Orthopaedic Surgery
376 W 10TH AVE, OHIO STATE UNIVERSITY MEDICAL CENTER
COLUMBUS, OH 43210
Franklin County (614) 293-6194

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 Mack's NPI number?

The NPI number for Nathaniel Mack is 1811832603. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Where is Nathaniel Mack located?

Nathaniel Mack practices at 376 W 10th Ave, Columbus, OH 43210. The listed phone number is (661) 429-3830.

What is Nathaniel Mack'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 Mack enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nathaniel Mack was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.