Individual provider Active NPI

John B Pannone, M.D.

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1316968704
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
128711 Issued in NY
Practice address
61 Oliver St
PR-1
Brooklyn, NY 11209-6568
Phone
(718) 238-4980
Fax
(718) 238-4982
NPI assigned
Jul 21, 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
Nephrology Physician 207RN0300X 128711 NY Primary

Addresses

Primary practice location

61 Oliver St
PR-1
Brooklyn, NY 11209-6568

Mailing address

61 Oliver St
PR-1
Brooklyn, NY 11209-6568
Phone (718) 238-4980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100914001274 NY Practitioner - Internal MedicinePractitioner - Nephrology 2769507763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Brooklyn, PCGroup PAC ID 0143111278, 2 clinicians

Practice addresses (Care Compare)

61 Oliver St
Suite PR 1
Brooklyn, NY 11209-6568
Phone (718) 238-4980

Hospital & facility affiliations

  • Bayridge Sunset PK Dialysis Ctr Dialysis facility, Brooklyn, NY, CCN 332560
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayridge Sunset Park Dialysis Center Inc CurrentSince Dec 1, 1990 Accepting new patients
Bay Ridge Sunset Park Dialysis Center Current Accepting new patients

Locations

140 58th St
Ste 65
Brooklyn, NY 11220
Phone (718) 238-4980

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDIEDD/Endpoint/FDIEDD

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 8

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316968704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 OLIVER ST",
            "address_2": "PR-1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096568",
            "telephone_number": "718-238-4980",
            "fax_number": "718-238-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 OLIVER ST",
            "address_2": "PR-1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096568",
            "telephone_number": "718-238-4980",
            "fax_number": "718-238-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNONE",
        "first_name": "JOHN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "128711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.