Active NPI
Charles R Betts, MD
- Nephrology Physician
- Kittanning, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD-045564-E
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001409737006 | Medicaid | PA |
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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-045564-E | PA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coordinated Kidney Care Group, Inc. | Nephrology | Current | Accepting new patients |
| Three Rivers Nephrology & Betts C Ross Member | Nephrology | Past | Accepting new patients |
| Ara-Kittanning Dialysis LLC | Past | 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
- 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.
-
- Nephrology Physician
- Kittanning, PA
- NPI 1407044308
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kittanning, PA
- NPI 1497797815
-
- Nephrology Physician
- Pittsburgh, PA
- NPI 1912925819
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.