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DR. NICHOLAS JOHN FUSTINO M.D.
NPI 1891952552
Pediatrics - Pediatric Hematology-Oncology in Des Moines, IA

Active since May 20, 2008PECOS Enrolled
1215 PLEASANT ST STE 514, DES MOINES, IA 50309(515) 241-8912(515) 241-8988 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Jul 12, 2017 (2 updates tracked since 2017).

About Dr. Nicholas John Fustino M.d. NPPES

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

DR. NICHOLAS JOHN FUSTINO M.D. (NPI 1891952552) is an individual pediatric hematology-oncology provider in Des Moines, Iowa, licensed in Iowa (39645) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891952552
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. NICHOLAS JOHN FUSTINOCredential: M.D.
Location Address1215 PLEASANT ST STE 514Des Moines, IA 50309-1418
Mailing Address1200 Pleasant StDes Moines, IA 50309-1406 · (515) 241-5926 · Fax (515) 241-5127
Phone(515) 241-8912
Fax(515) 241-8988
Sole ProprietorNo
Enumeration DateMay 20, 2008
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1891952552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in IA · 39645
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License 39645 (IA)
1215 PLEASANT ST STE 514, Des Moines, IA 50309
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Secondary Practice Locations 2

Location 11200 Pleasant StDes Moines, IA 50309-1406 · Phone (515) 241-5926 · Fax (515) 241-5127
Location 21215 Pleasant St, Suite 306Des Moines, IA 50309-1453 · Phone (515) 241-8912 · Fax (515) 241-8988

Other Identifiers 2

Medicaid1891952552IA
Other175150097IA · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas John Fustino M.d. 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.

Medicare Billing Reassignment

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

Central Iowa Hospital Corporation
Same address
Hepatology
1215 PLEASANT ST, SUITE 506
Des Moines, IA 50309
  • Reassigned Medicare billing, Iowa enrollment
  • 545 clinicians in this Medicare group
NPI 1598942872 (515) 241-4044

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 2

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

LAURA CHRISTINE MCCARTHY D.O., MBA
Pediatrics (Pediatric Hematology-Oncology)
1215 PLEASANT ST STE 514
DES MOINES, IA 50309
Polk County (515) 241-8912
SAMANTHA L. MALLORY MD
Pediatrics (Pediatric Hematology-Oncology)
1215 PLEASANT ST STE 514
DES MOINES, IA 50309
Polk County (515) 241-8912

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 Nicholas Fustino's NPI number?

The NPI number for Nicholas Fustino is 1891952552. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Nicholas Fustino located?

Nicholas Fustino practices at 1215 Pleasant St Ste 514, Des Moines, IA 50309. The listed phone number is (515) 241-8912.

What is Nicholas Fustino's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Nicholas Fustino enrolled in Medicare?

Yes. Nicholas Fustino is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Fustino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Fustino reassigns Medicare benefits to Central Iowa Hospital Corporation (Des Moines, IA). The 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 Nicholas Fustino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Fustino accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Nicholas Fustino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Fustino was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.