NATHAN KMETZSCH DO
NPI 1902366446
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
355 BARD AVE OFC 477, STATEN ISLAND, NY 10310(718) 818-4273(718) 818-1618 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nathan Kmetzsch Do NPPES

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

NATHAN KMETZSCH DO (NPI 1902366446) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Intermountain Health Alta View Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902366446
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNATHAN KMETZSCHCredential: DO
Location Address355 BARD AVE OFC 477Staten Island, NY 10310-1664
Mailing Address355 Bard Ave Ofc 477Staten Island, NY 10310-1664 · (718) 818-4273 · Fax (718) 818-1618
Fax(718) 818-1618
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2019
NPI 1902366446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
355 BARD AVE OFC 477, Staten Island, NY 10310

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nathan Kmetzsch Do 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 ID5799149282
PECOS Enrollment IDI20230918001095
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

Obstetrics & Gynecology
355 BARD AVE OFC 477
STATEN ISLAND, NY 10310

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 Nathan Kmetzsch's NPI number?

The NPI number for Nathan Kmetzsch is 1902366446. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Nathan Kmetzsch located?

Nathan Kmetzsch practices at 355 Bard Ave Ofc 477, Staten Island, NY 10310. The listed phone number is (718) 818-4273.

What is Nathan Kmetzsch's specialty?

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

Is Nathan Kmetzsch enrolled in Medicare?

Yes. Nathan Kmetzsch 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.

What insurance does Nathan Kmetzsch accept?

Health plans from Select Health list Nathan Kmetzsch 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.

Is Nathan Kmetzsch affiliated with any hospitals?

According to CMS data, Nathan Kmetzsch is affiliated with Intermountain Health Alta View Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Kmetzsch was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.