Individual provider Active NPI

John J Loffarelli, DO

  • Hospitalist Physician
  • Wenatchee, WA
National Provider Identifier
1194728329
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
34008222 Issued in OH
Practice address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone
(509) 663-8711
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50856-21 WI
Hospitalist Physician 208M00000X 34008222 OH Primary

Addresses

Primary practice location

820 N Chelan Ave
Wenatchee, WA 98801-2028

Mailing address

820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711

Other identifiers 2

IdentifierTypeStateIssuer
2537875MedicaidOH
P01469175OtherOHMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MN, RI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110823000305 ID Practitioner - Internal Medicine 5890770259 Reassigns benefits to 2 organizations
I20150304001695 MN Practitioner - Internal Medicine 5890770259 Reassigns benefits to 1 organization
I20160203001865 RI Practitioner - Internal Medicine 5890770259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Idaho- Nampa PLLCGroup PAC ID 2365871688, 6 clinicians
Sound Physicians of IdahoGroup PAC ID 4688705346, 47 clinicians

Practice addresses (Care Compare)

415 6TH St
Lewiston, ID 83501-2431
Phone (785) 295-8000

Hospital & facility affiliations

  • St Joseph Regional Medical Center Hospital, Lewiston, ID, CCN 130003
  • Tri-State Memorial Hospital Hospital, Clarkston, WA, CCN 501332
  • Clearwater Valley Hospital & Clinics Hospital, Orofino, ID, CCN 131320
  • St Mary'S Hospital Hospital, Cottonwood, ID, CCN 131321
  • Syringa General Hospital Hospital, Grangeville, ID, CCN 131315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50856-21WIMDInternal Medicine Physician
34008222OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota Current Accepting new patients
Sound Physicians of Idaho Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Hni Medical Services Internal Medicine CurrentSince Nov 17, 2015 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Oct 1, 2016 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Oct 1, 2016 Accepting new patients
Sanford Health of Northern Minnesota Internal Medicine CurrentSince Jan 20, 2015 Accepting new patients
St. Joseph Hospital LLC Past Accepting new patients
Holzer Clinic, LLC Past Accepting new patients
Professional Management Systems, LLC Past Accepting new patients
Hospital Medicine Associates of Ohio Professional Corporation Internal Medicine Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000

75 Remittance Dr
Dept 1653
Chicago, IL 60675

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

Organizations & group practices 12

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1194728329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFFARELLI",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "50856-21",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "34008222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2537875",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01469175",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.