Individual provider Active NPI

Thomas R Hatala, CRNA

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
National Provider Identifier
1073840237
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN505383L Issued in PA
Practice address
3998 Red Lion Rd
Philadelphia, PA 19114-1445
Phone
(201) 612-4088
Fax
(215) 612-4323
NPI assigned
Nov 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X RN505383L PA
Certified Registered Nurse Anesthetist 367500000X RN505383L PA Primary

Addresses

Primary practice location

3998 Red Lion Rd
Philadelphia, PA 19114-1445

Mailing address

10911 Kirby Dr
Phila, PA 19154-4205
Phone (267) 242-4680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100215000105 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719021716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

3998 Red Lion Rd
Philadelphia, PA 19114-1445
Phone (215) 612-5001

Hospital & facility affiliations

  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN505383LPAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince Jan 15, 2010 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Anestiplus, Inc. CurrentSince Feb 4, 2017 Accepting new patients
GSC Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Aria Health Physician Services CurrentSince Jan 15, 2010 Accepting new patients
Quality Anesthesia, Inc Past Accepting new patients

Locations

100 Presidential Blvd
Fl 4
Bala Cynwyd, PA 19004
Phone (610) 664-2122

380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000

123 W Germantown Pike
Ste 2
Norristown, PA 19401
Phone (610) 278-7455

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

2000 Grant Ave
Ste 101
Philadelphia, PA 19115
Phone (215) 990-6002

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

4979 Old Street Rd
Trevose, PA 19053
Phone (215) 355-3636

744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400

Organizations & group practices 6

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.

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": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1073840237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10911 KIRBY DR",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191544205",
            "telephone_number": "267-242-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 RED LION RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141445",
            "telephone_number": "201-612-4088",
            "fax_number": "215-612-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATALA",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-09",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "PA",
            "license": "RN505383L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN505383L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.