Dr. Nicholas John Fustino
M.D. | Pediatric Hematology-Oncology | Male
Dr. Nicholas John Fustino, M.D. is a Des Moines, Iowa based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Dr. Nicholas John Fustino is
1215 Pleasant St Ste 514, Des Moines, Iowa - 50309-1418. He can be contacted on phone at
515-241-8912 and fax number 515-241-8988.
Dr. Nicholas John Fustino is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Nicholas John Fustino is
1891952552 which was assigned by NPPES on 20 May, 2008 and it was last updated on 17 Mar, 2018.
Dr. Nicholas John Fustino license number is
39645 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Iowa.
Dr. Nicholas John Fustino is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Dr. Nicholas John Fustino basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Dr. Nicholas John Fustino |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Nicholas John Fustino address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1215 Pleasant St Ste 514
Des Moines, IA, 50309-1418
United States |
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| Phone Number : | 515-241-8912 |
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| Fax Number : | 515-241-8988 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1891952552 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 May, 2008 |
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| Last Updated On : | 17 Mar, 2018 |
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Medicare Participation:
Dr. Nicholas John Fustino participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4284803917 |
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| Medicare Enrollment ID : | I20110812000650 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Massachusetts Medical School |
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| Graduation Year : | 2005 |
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| Accepts Medicare? | Yes. Dr. Nicholas John Fustino accepts medicare insurance. |
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Group Practice Association:
Dr. Nicholas John Fustino is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Nicholas John Fustino is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Central Iowa Hospital Corporation | 1052229275 | 129 | 1200 Pleasant St
Des Moines, IA - 503091406 | Yes |
| Central Iowa Hospital Corporation | 1052229275 | 129 | 1200 Pleasant St
Suite 509
Des Moines, IA - 503091406
Ph: 5152413218 | Yes |
| Central Iowa Hospital Corporation | 1052229275 | 129 | 1206 Pleasant St
Des Moines, IA - 503091406
Ph: 5152635153 | Yes |
| Central Iowa Hospital Corporation | 1052229275 | 129 | 1206 Pleasant St
Suite 2
Des Moines, IA - 503091406
Ph: 5152416465 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nicholas John Fustino are as mentioned. Primary taxonomy code for Dr. Nicholas John Fustino, M.D. is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 39645 | IA |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 39645 | IA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Nicholas John Fustino such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1891952552 | MEDICAID | IA | |
| 175150097 | Other | IA | MEDICARE |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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1215 PLEASANT ST, SUITE 306
DES MOINES, IA, 50309-1453
United States | DES MOINES, IA | 515-241-8912 |
1200 PLEASANT ST,
DES MOINES, IA, 50309-1406
United States | DES MOINES, IA | 515-241-5926 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1200 Pleasant St
Des Moines, IA, 50309-1406
United States |
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| Phone Number : | 515-241-5926 |
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| Fax Number : | 515-241-5127 |
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Business Location:
Patients can refer following map for directions to
Dr. Nicholas John Fustino practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.