Individual provider Active NPI

Nathan J Bleeke, DO

  • Family Medicine Physician
  • Greenwood, IN
National Provider Identifier
1306342647
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02006169A Issued in IN
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

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 HospitalGroup PAC ID 4880505528, 341 clinicians

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 Hospital, Danville, IN, CCN 150005
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince May 22, 2023 Accepting new patients
Excell for Life Family Care and Pediatrics Inc. Family Medicine CurrentSince Jun 26, 2023 Accepting new patients
Hendricks County Hospital Family Medicine CurrentSince May 22, 2023 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

  • Direct secure messaging: nbleeke400904@direct-prd.stelizabeth.com
  • FHIR API: https://api.platform.athenahealth.com/23703/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.