Individual provider Active NPI

Charles R Betts, MD

  • Nephrology Physician
  • Kittanning, PA
National Provider Identifier
1124014634
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD-045564-E Issued in PA
Practice address
1 Nolte Dr
Suite 150
Kittanning, PA 16201-7111
Phone
(724) 548-1395
Fax
(412) 548-1396
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD-045564-E PA Primary

Addresses

Primary practice location

1 Nolte Dr
Suite 150
Kittanning, PA 16201-7111

Mailing address

1 Nolte Dr
P.O. Box 1001
Kittanning, PA 16201-7111
Phone (724) 548-1395

Other practice location 1

29 E North St Ste 203
New Castle, PA 16101-3741
Phone (724) 856-7055

Other practice location 2

111 Woody Dr
Butler, PA 16001-7603
Phone (724) 287-1000

Other identifiers 1

IdentifierTypeStateIssuer
001409737006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071108000390 PA Practitioner - Nephrology 0345229258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Michigan Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coordinated Kidney Care Group IncGroup PAC ID 0345338281, 8 clinicians

Practice addresses (Care Compare)

1 Nolte Dr
BLDG 700 Suite 720
Kittanning, PA 16201-7111
Phone (724) 548-1395

Hospital & facility affiliations

  • Innovative Renal Care New Castle Dialysis facility, New Castle, PA, CCN 392715

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-045564-EPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coordinated Kidney Care Group, Inc. Nephrology CurrentSince Sep 28, 2007 Accepting new patients
Three Rivers Nephrology & Betts C Ross Member Nephrology Past Accepting new patients
Ara-Kittanning Dialysis LLC PastSince Jun 2, 2003 Accepting new patients

Locations

111 Woody Dr
Ste A
Butler, PA 16001

111 Woody Dr
Butler, PA 16001
Phone (724) 287-1000

1 Nolte Dr
Bldg 700
Kittanning, PA 16201
Phone (412) 489-1980

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

1 Nolte Dr
Ste 150
Kittanning, PA 16201
Phone (412) 543-5919

29 E North St
Ste 203
New Castle, PA 16101
Phone (724) 657-3611

2602 Wilmington Rd
Ste 103
New Castle, PA 16105
Phone (724) 656-4132

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/21/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.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1124014634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NOLTE DR",
            "address_2": "P.O. BOX 1001",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017111",
            "telephone_number": "724-548-1395",
            "fax_number": "724-548-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NOLTE DR",
            "address_2": "SUITE 150",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017111",
            "telephone_number": "724-548-1395",
            "fax_number": "412-548-1396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 E North St Ste 203",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161013741",
            "country_code": "US",
            "telephone_number": "724-856-7055",
            "fax_number": "724-856-7034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Woody Dr",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160017603",
            "country_code": "US",
            "telephone_number": "724-287-1000",
            "fax_number": "724-548-1396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETTS",
        "first_name": "CHARLES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD-045564-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001409737006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.