Active NPI
Nathan J Bleeke, DO
- Family Medicine Physician
- Greenwood, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02006169A
- Practice address
- 1579 Olive Branch Parke LN # 180
Greenwood, IN 46143-5754 - Phone
- (317) 879-4850
- NPI assigned
- Apr 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02006169A | IN | Primary |
Addresses
Primary practice location
1579 Olive Branch Parke LN # 180
Greenwood, IN 46143-5754
Mailing address
1579 Olive Branch Parke LN # 180
Greenwood, IN 46143-5754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210702001894 | IN | Practitioner - Family Practice | 1557618899 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Marian University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hendricks County Hospital
Practice addresses (Care Compare)
5492 N Ronald Reagan Pkwy
Suite 130
Brownsburg, IN 46112-5618
Phone (317) 456-9050
8244 E US Hwy 36
Avon, IN 46123-9688
8244 E US Hwy 36 1320
Avon Internal Medicine
Avon, IN 46123-9688
Phone (317) 272-7519
Hospital & facility affiliations
- Hendricks Regional Health
- Ascension St Vincent Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendricks County Hospital | Current | Accepting new patients | |
| Hendricks County Hospital | Current | Accepting new patients | |
| Excell for Life Family Care and Pediatrics Inc. | Family Medicine | Current | Accepting new patients |
| Hendricks County Hospital | Family Medicine | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Hendricks County Hospital | Family Medicine | Past | Accepting new patients |
Locations
8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510
8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500
5492 N Ronald Reagan Pkwy
Ste 250
Brownsburg, IN 46112
Phone (317) 852-3851
5492 N Ronald Reagan Pkwy
Ste 2105
Brownsburg, IN 46112
Phone (317) 852-3851
1329 W 96th St
Ste 1
Indianapolis, IN 46260
Phone (317) 660-0888
Interoperability endpoints
- nbleeke400904@direct-prd.stelizabeth.com
- https://api.platform.athenahealth.com/23703/brand/1/csg/1/fhir/r4
- nathan.bleeke.1@23703.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1902192016
Family Medicine, IN
-
- Pediatrics Physician
- Brownsburg, IN
- NPI 1508758210
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
Hospital
-
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1306342647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1579 OLIVE BRANCH PARKE LN # 180",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461435754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1579 OLIVE BRANCH PARKE LN # 180",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461435754",
"telephone_number": "317-879-4850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEEKE",
"first_name": "NATHAN",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-04",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02006169A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.