NATHANIEL GREGG DENICOLA (MD) – Gynecology Physician, NPI 1225205651

NATHANIEL GREGG DENICOLA (MD) is a healthcare provider. based in Newport beach, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. C170127 (CA). The NPI Number for NATHANIEL GREGG DENICOLA (MD) is 1225205651

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL GREGG DENICOLA (MD)
NPI
1225205651
Phone
(949) 375-8244
Address
320 SUPERIOR AVE STE 290
Enumeration Date
14 May 2008
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
7145776031
Graduation Year
2006 (20 years ago)
PAC ID
3779752860
Group Practice PAC ID
5294762654
Professional Enrollment ID
I20201123001980
Address ID
CA928864044YO18200BLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

Provider Addresses for NATHANIEL GREGG DENICOLA (MD)

  • 320 SUPERIOR AVE STE 290

    NEWPORT BEACH, CA 926636140

    Phone: (949) 375-8244

    Fax: (949) 398-9812

    Type: Mailing

  • 320 Superior Ave Ste 290

    Newport Beach, CA 926636140

    Phone: (949) 375-8244

    Fax: (949) 398-9812

    Type: Location

  • 3701, Market Street, Powelton Village, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    3RD FLOOR

    PHILADELPHIA, PA 191045502

    Phone: (215) 662-6035

    Type: Location

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 456-8888

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161129002333IObstetrics/GynecologyDCTBD
I20200528000518IObstetrics/GynecologyTXTBD
I20201123001980IObstetrics/GynecologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2321$0
View full utilization report →

Insurance plans in this area (ZIP 92663)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294762654View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
Nurse PractitionerCA
N E U R O L O G YCA
General SurgeryCA
-CA
Nephrology, Internal MedicineCA
-CA
Physical Therapist In Private PracticeCA
-CA
-CA

Reviews

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Frequently asked questions

Can I use this page to confirm NATHANIEL GREGG DENICOLA (MD)'s NPI?
Yes. NATHANIEL GREGG DENICOLA (MD) is listed with NPI 1225205651 in the public NPI dataset.
Is NATHANIEL GREGG DENICOLA (MD) listed as active for patients and plans?
The listing shows NATHANIEL GREGG DENICOLA (MD) as active in the NPI system.
What is NATHANIEL GREGG DENICOLA (MD)'s primary classification?
Gynecology Physician is the headline specialty for NATHANIEL GREGG DENICOLA (MD) here. Clinical services aligned with this taxonomy classification.
Does NATHANIEL GREGG DENICOLA (MD) list a practice location?
Patients near Newport Beach, California may find NATHANIEL GREGG DENICOLA (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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