DR. NICHOLAS JOHN FUSTINO (M.D.) – Pediatric Hematology & Oncology Physician, NPI 1891952552
Pediatric Hematology & Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
268 PEDIATRIC MEDICINE in IA
Provider Addresses for DR. NICHOLAS JOHN FUSTINO (M.D.)
1215 Pleasant St
Suite 306
Des Moines, IA 503091453
Phone: (515) 241-8912
Fax: (515) 241-8988
Type: Location
1200 Pleasant St
Des Moines, IA 503091406
Phone: (515) 241-5926
Fax: (515) 241-5127
Type: Location
Iowa Methodist Medical Center, 1200, Pleasant Street, Sherman Hill, Des Moines, Polk County, Iowa, 50309, United States
DES MOINES, IA 503091406
Phone: (515) 241-5926
Fax: (515) 241-5127
Type: Mailing
Pleasant Street, Downtown, Des Moines, Polk County, Iowa, 50309, United States
DES MOINES, IA 503091418
Phone: (515) 241-8912
Fax: (515) 241-8988
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: SERVIER PHARMACEUTICALS LLC ($24).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SERVIER PHARMACEUTICALS LLC | $24 |
| Pharming Healthcare, Inc. | $20 |
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: 2011-08-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110812000650 | I | Pediatric Medicine | IA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50309)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease, Internal Medicine | IA | |
| Emergency Medicine | IA | |
| - | IA | |
| - | IA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| - | IA | |
| - | IA | |
| Nurse Practitioner | IA |
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