Individual provider Active NPI

Nathan J Hanflink, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Eustis, FL
National Provider Identifier
1194778852
Registry record updated Apr 21, 2020
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(7) exclusion effective Apr 30, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
OS9725 Issued in FL
Practice address
601 Jennings Ave
Eustis, FL 32726-6148
Phone
(352) 357-0668
Fax
(352) 357-3642
NPI assigned
May 17, 2006
Reactivated
Nov 29, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X OS9725 FL
Interventional Pain Medicine Physician 208VP0014X OS9725 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X OS9725 FL Primary

Addresses

Primary practice location

601 Jennings Ave
Eustis, FL 32726-6148

Mailing address

601 Jennings Ave
Eustis, FL 32726-6148
Phone (352) 357-0668

Other practice location 1

3260 Murrell Rd Ste 100
Rockledge, FL 32955-4569
Phone (352) 357-0668

Other identifiers 2

IdentifierTypeStateIssuer
11551057OtherFLCAQH PROVIDER
663004001MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4601 N Hwy 19a
Mount Dora, FL 32757-2039

601 Jennings Ave
Eustis, FL 32726-6148

Merit-based Incentive Payment System (MIPS)

Final score
77.54 of 100Reported as individual
Quality
42.31
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS9725FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Institute LLC Interventional Pain Medicine CurrentSince Jun 17, 2008 Accepting new patients
Pain Management Institute LLC Current Accepting new patients

Locations

2785 S Bay St
Ste A
Eustis, FL 32726
Phone (352) 357-0668

601 Jennings Ave
Eustis, FL 32726
Phone (352) 357-5311

4601 N Highway 19A
Mount Dora, FL 32757
Phone (352) 589-9090

3260 Murrell Rd
Ste 100
Rockledge, FL 32955
Phone (352) 357-0668

3260 Murrell Rd
Ste 101
Rockledge, FL 32955
Phone (321) 631-1100

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: nathan.hanflink.1@3306.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1194778852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JENNINGS AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266148",
            "telephone_number": "352-357-0668",
            "fax_number": "352-357-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JENNINGS AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266148",
            "telephone_number": "352-357-0668",
            "fax_number": "352-357-3642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3260 Murrell Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329554569",
            "country_code": "US",
            "telephone_number": "352-357-0668",
            "fax_number": "352-357-3643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANFLINK",
        "first_name": "NATHAN",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "deactivation_date": "2017-11-13",
        "reactivation_date": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "OS9725",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS9725",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "OS9725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER",
            "identifier": "11551057",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "663004001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

Verify at the official NPI Registry.