Individual provider Active NPI

Beth Ann Hartung, M.D.

  • Internal Medicine Physician
  • Napa, CA
National Provider Identifier
1275501488
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A67188 Issued in CA
Practice address
1141 Pear Tree LN
Napa, CA 94558
Phone
(707) 254-1774
Fax
(707) 251-2993
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A67188 CA Primary

Addresses

Primary practice location

1141 Pear Tree LN
Napa, CA 94558

Mailing address

1100 Trancas St 300
Napa, CA 94558-2921
Phone (707) 492-9236

Other identifiers 1

IdentifierTypeStateIssuer
00A671880MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100917000063 CA Practitioner - Internal MedicinePractitioner - Hospitalist 4587789300 Reassigns benefits to 1 organization
I20201229000359 TX Practitioner - Internal Medicine 4587789300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
George Washington University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1000 Trancas St
Napa, CA 94558-2906
Phone (707) 252-4411

Hospital & facility affiliations

  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009
  • Petaluma Valley Hospital Hospital, Petaluma, CA, CCN 050136

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation CurrentSince Sep 23, 2020 Accepting new patients
Providence Medical Foundation CurrentSince Apr 2, 2019 Accepting new patients
Providence Medical Foundation Current Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Sep 23, 2020 Accepting new patients
Providence Medical Foundation CurrentSince Apr 2, 2019 Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

Dept LA 23811
Pasadena, CA 91185

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

Organizations & group practices 7

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 3

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1275501488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 TRANCAS ST 300",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582921",
            "telephone_number": "707-492-9236",
            "fax_number": "425-949-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94558",
            "telephone_number": "707-254-1774",
            "fax_number": "707-251-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTUNG",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A67188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A671880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.