Individual provider Active NPI

James Allen Pruitt, MD

  • Emergency Medicine Physician
  • Altoona, PA
National Provider Identifier
1013228592
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME142076 Issued in FL
Practice address
501 Howard Ave
F2
Altoona, PA 16601-4810
Phone
(480) 825-1256
NPI assigned
Jun 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 45685 AZ
Emergency Medicine Physician 207P00000X 45685 AZ
Family Medicine Physician 207Q00000X MT209273 PA
Family Medicine Physician 207Q00000X ME142076 FL
Emergency Medicine Physician 207P00000X ME142076 FL Primary

Addresses

Primary practice location

501 Howard Ave
F2
Altoona, PA 16601-4810

Mailing address

501 Howard Ave
F2
Altoona, PA 16601-4810
Phone (480) 825-1256

Other identifiers 1

IdentifierTypeStateIssuer
207Q00000XMedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160425001067 PA Practitioner - Emergency Medicine 3072759992 Reassigns benefits to 4 organizations
I20190917003783 FL Practitioner - Family PracticePractitioner - Emergency Medicine 3072759992 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Arkansas College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgewood Emergency Group, LLCGroup PAC ID 6305199597, 43 clinicians

Practice addresses (Care Compare)

17430 Bali Blvd
Winter Garden, FL 34787-9507
Phone (863) 422-5582

Hospital & facility affiliations

  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT209273PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Nason Physician Practices LLC Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Nason Physician Practices LLC Emergency Medicine Current Accepting new patients
W4P LLC Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
DLP Conemaugh Miners Medical Center LLC Current Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jul 13, 2025 Accepting new patients
Ridgewood Emergency Group, LLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC Family Medicine CurrentSince Mar 1, 2021 Accepting new patients
Ridgewood Emergency Group, LLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC Family Medicine Current Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Family Medicine Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients
Rose Lane Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients

Locations

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

17430 Bali Blvd
Winter Garden, FL 34787
Phone (863) 419-2496

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

104 Hillcrest Dr
Roaring Spring, PA 16673
Phone (814) 224-5455

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

Interoperability endpoints

  • Direct secure messaging: jpruitt296231@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1013228592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE",
            "address_2": "F2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014810",
            "telephone_number": "480-825-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE",
            "address_2": "F2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014810",
            "telephone_number": "480-825-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "AZ",
            "license": "45685",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "45685",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT209273",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME142076",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME142076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207Q00000X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.