DR. NICHOLAS JOHN FUSTINO M.D. NPI 1891952552

NPI Information

  • NPI: 1891952552
  • Provider Name: DR. NICHOLAS JOHN FUSTINO, M.D.
  • Classification: Pediatrics - 2080P0207X
  • Specialization: Pediatric Hematology-Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1215 PLEASANT ST STE 514
    DES MOINES, IA
    ZIP 50309
  • Phone: (515) 241-8912

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NPI Details

DR. Nicholas John Fustino, M.D. is a pediatric hematology-oncology pediatrics in Des Moines, IA. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Nicholas John Fustino, M.D. NPI is 1891952552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1215 PLEASANT ST STE 514
DES MOINES, IA
ZIP 50309-418
Phone: (515) 241-8912
Fax: (515) 241-8988

The NPI 1891952552 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics39645IOWANo
22080P0207XPediatricsPediatric Hematology-Oncology39645IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11891952552MEDICAIDIOWA
2175150097OTHERIOWAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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