Active NPI
Nathaniel Bode, DO
- Family Medicine Physician
- Greenfield, IN
National Provider Identifier
1982399309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02009216A
- Practice address
- 6189 W John L Modglin Dr Ste 101
Greenfield, IN 46140-9364 - Phone
- (317) 866-7300
- NPI assigned
- Apr 11, 2023
- Last updated
- Jul 26, 2026
- 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 | 02009216A | IN | Primary |
Addresses
Primary practice location
6189 W John L Modglin Dr Ste 101
Greenfield, IN 46140-9364
Mailing address
6189 W John L Modglin Dr Ste 101
Greenfield, IN 46140-9364
Phone (317) 866-7300
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 |
|---|---|---|---|---|
| I20230519001363 | IN | Order and Referring Only - Family Practice | 1052777885 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Marian University College of Osteopathic Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Indianapolis, IN 46206
PO Box
Suite 685
Indianapolis, IN 46206-0685
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785024000000",
"number": "1982399309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6189 W JOHN L MODGLIN DR STE 101",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "461409364",
"telephone_number": "317-866-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6189 W JOHN L MODGLIN DR STE 101",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "461409364",
"telephone_number": "317-866-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODE",
"first_name": "NATHANIEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-11",
"last_updated": "2026-07-26",
"certification_date": "2026-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02009216A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; 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.