NPIMap

Individual provider Active NPI

John Theodore Haretos, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Pittsburgh, PA
National Provider Identifier
1114087160
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD028204E Issued in PA
Practice address
160 N Craig St
Pittsburgh, PA 15213-2716
Phone
(412) 621-3431
Fax
(412) 621-0878
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD028204E PA Primary

Addresses

Primary practice location

160 N Craig St
Pittsburgh, PA 15213-2716

Mailing address

160 N Craig St
Pittsburgh, PA 15213-2716
Phone (412) 621-3431

Other identifiers 1

IdentifierTypeStateIssuer
0001006134MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112001201 PA Practitioner - Internal Medicine 8224223409 Practice locations: Cabot, PA; Mars, PA; Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

160 N Craig St
Suite 114
Pittsburgh, PA 15213-2716

160 N Craig St
Suite 114
Pittsburgh, PA 15213-2717
Phone (412) 621-3431

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concordia Visiting Nurses Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
John T. Haretos, M.D. Geriatric Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: john.haretos.1@15602.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15602/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114087160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N CRAIG ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132716",
            "telephone_number": "412-621-3431",
            "fax_number": "412-621-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N CRAIG ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132716",
            "telephone_number": "412-621-3431",
            "fax_number": "412-621-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARETOS",
        "first_name": "JOHN",
        "middle_name": "THEODORE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD028204E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001006134",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.