Don Alexander Bertolotti
Individual provider Active NPI Emergency Medicine Physician · Owensboro, KY
NPI 1275950560 · NPPES record last updated Sep 18, 2018
Key facts
- NPI
- 1275950560
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 35.134887 (OH)
- Practice address
- 1201 Pleasant Valley Rd
Owensboro, KY 42303-9811 - Phone
- (270) 417-2000
- NPI assigned
- Mar 25, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- JC Edwards School of Medicine, Marshall University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - Ohio LLC
Practice addresses (Care Compare)
500 S Cleveland Ave
Westerville, OH 43081-8971
Phone (614) 898-4000
Hospital & facility affiliations
- Memorial Hospital
- Mount Carmel St Ann'S
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 71.73
- Improvement activities
- 40
- Cost
- 80.68
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181002002987 | OH | Practitioner - Emergency Medicine | 1951616457 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP946 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Ohio LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Memorial Hospital of Union County | Current |
Accepting new patients | |
| Knox Emergency Services, LLC | Emergency Medicine | Current |
Accepting new patients |
| Memorial Hospital of Union County | Current |
Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America - Ohio LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
500 London Ave
Marysville, OH 43040
Phone (740) 420-8451
1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019
11850 Sycamore Trce
Ste A
Plain City, OH 43064
Phone (614) 881-3473
500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000
Interoperability endpoints
- dbertolotti1158447@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | TP946 | KY | |
| Emergency Medicine Physician | 207P00000X | R3429 | KY | |
| Emergency Medicine Physician | 207P00000X | 50178 | KY | |
| Emergency Medicine Physician | 207P00000X | 35.134887 | OH | Yes |
Addresses
Primary practice location
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Mailing address
3128 Derby Chase
Owensboro, KY 42303-4402
Phone (304) 982-2669
Other practice location 1
550 S Jackson St # C1H17
Louisville, KY 40202-1622
Phone (502) 852-1273
Other providers in Owensboro, KY
- Ashley Berry
- Chastity Berry
- Jeffrey Berry
- Ronald Allen Berry
- Beverly N Bertke
- Daniel Keith Best
- Julia Best
- Michelle Best
- Better Behavioral Kentucky LLC
- Malinda Leah Bettinger
All providers in Owensboro, KY · Emergency Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.