Individual provider Active NPI

James Michael Ertel, MD

  • Anesthesiology Physician
  • Pittsburgh, PA
National Provider Identifier
1164470506
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD043933L Issued in PA
Practice address
837 Lovingston Dr
Pittsburgh, PA 15216-1707
Phone
(228) 547-4025
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

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
Anesthesiology Physician 207L00000X MD043933L PA Primary

Addresses

Primary practice location

837 Lovingston Dr
Pittsburgh, PA 15216-1707

Mailing address

837 Lovingston Dr
Pittsburgh, PA 15216-1707
Phone (228) 547-4025

Other identifiers 1

IdentifierTypeStateIssuer
0018285740006MedicaidPA

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
I20061019000212 PA Practitioner - Anesthesiology 5991693046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Pittsburgh School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulfstream Anesthesia Consultants PAGroup PAC ID 2365418241, 18 clinicians

Practice addresses (Care Compare)

275 Guthrie Dr
Troy, PA 16947-8115
Phone (877) 204-4155

701 E 16TH St
Berwick, PA 18603-2316
Phone (877) 204-4155

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD043933LPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfstream Anesthesia Consultants PA Anesthesiology CurrentSince Oct 1, 2007 Accepting new patients
Western Pennsylvania Anesthesia Associates, LTD. Past Accepting new patients
Norumbega Medical Specialists, LTD Past Accepting new patients

Locations

701 E 16th St
Berwick, PA 18603
Phone (570) 754-5000

275 Guthrie Dr
Troy, PA 16947
Phone (570) 297-2121

Interoperability endpoints

  • Direct secure messaging: jertrl59033@direct-guthrie.org

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 2

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164470506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 LOVINGSTON DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152161707",
            "telephone_number": "228-547-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 LOVINGSTON DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152161707",
            "telephone_number": "228-547-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERTEL",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD043933L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018285740006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.