Individual provider Active NPI

John R Tretter, M.D.

  • Cardiovascular Disease Physician
  • Casa Grande, AZ
National Provider Identifier
1346234564
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
17169 Issued in NY
Practice address
803 N Salk Dr
Buildings a&B
Casa Grande, AZ 85122-5447
Phone
(520) 836-6682
Fax
(520) 836-6703
NPI assigned
Sep 2, 2005
Last updated
Oct 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 17169 NY Primary

Addresses

Primary practice location

803 N Salk Dr
Buildings a&B
Casa Grande, AZ 85122-5447

Mailing address

803 N Salk Dr
Premier Cardiovascular Center
Casa Grande, AZ 85122-5447
Phone (520) 836-6682

Other identifiers 1

IdentifierTypeStateIssuer
01239183MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20091012000333 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9638074990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stone Med LLCGroup PAC ID 6507114022, 2 clinicians

Practice addresses (Care Compare)

1327 E Chandler Blvd
Suite 106
Phoenix, AZ 85048-6272
Phone (480) 501-9475

803 N Salk Dr
Casa Grande, AZ 85122-5447
Phone (520) 836-6682

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17169NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Cardiovascular Center, PLC Cardiovascular Disease CurrentSince Jan 1, 2010 Accepting new patients
Stone Med, LLC Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Premier Cardiovascular Center, PLC Cardiovascular Disease CurrentSince Oct 5, 2025 Accepting new patients
SNKS Enterprises LLC Past Accepting new patients

Locations

803 N Salk Dr
Casa Grande, AZ 85122
Phone (480) 917-3706

77 S Dobson Rd
Ste 2
Chandler, AZ 85224
Phone (480) 444-7491

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

77 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 814-0266

725 S Dobson Rd
Ste 100
Chandler, AZ 85224
Phone (480) 814-0266

77 S Dobson Rd
Chandler, AZ 85224
Phone (480) 501-9475

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

21300 N John Wayne Pkwy
Ste 116
Maricopa, AZ 85139
Phone (520) 423-9699

1327 E Chandler Blvd
Ste 106
Phoenix, AZ 85048
Phone (480) 460-1177

10440 E Riggs Rd
Ste 200
Sun Lakes, AZ 85248
Phone (480) 814-0266

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: john.tretter@direct.pcvc.nextgenshare.com
  • Direct secure messaging: gehjtrett@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1346234564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N SALK DR",
            "address_2": "PREMIER CARDIOVASCULAR CENTER",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225447",
            "telephone_number": "520-836-6682",
            "fax_number": "520-836-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N SALK DR",
            "address_2": "BUILDINGS A&B",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225447",
            "telephone_number": "520-836-6682",
            "fax_number": "520-836-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRETTER",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "17169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01239183",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.