NATHAN DELACTH MD
NPI 1992665715
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Nathan Delacth's NPI number?

The NPI number for Nathan Delacth is 1992665715. It was assigned to this individual provider in the NPPES registry on November 14, 2025.

Q: What is Nathan Delacth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nathan Delacth was last updated on May 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 14, 2025PECOS Enrolled

3401 N BROAD ST, PHILADELPHIA, PA 19140(800) 836-7536 Get Directions Write a Review

NPPES record last updated: May 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2026, Nov 14, 2025 (2 updates tracked since 2025).

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About Nathan Delacth Md NPPES

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

NATHAN DELACTH MD (NPI 1992665715) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT236647) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992665715

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNATHAN DELACTHCredential: MD

Location Address3401 N BROAD STPhiladelphia, PA 19140-5103

Mailing Address3401 N Broad StPhiladelphia, PA 19140-5103 · (800) 836-7536

Phone(800) 836-7536

Sole ProprietorNo

Enumeration DateNovember 14, 2025

Last NPPES UpdateMay 9, 20262 updates tracked since enumeration

NPPES CertifiedMay 9, 2026

✔ NPI 1992665715 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

License✔ Licensed in PA · MT236647

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.

3401 N BROAD ST, Philadelphia, PA 19140

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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)

Nathan Delacth 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.

DR. JAMIE L. GARFIELD MD

Internal Medicine