Active NPI
John R Tretter, M.D.
- Cardiovascular Disease Physician
- Casa Grande, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 17169
- 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, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01239183 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17169 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Cardiovascular Center, PLC | Cardiovascular Disease | Current | Accepting new patients |
| Stone Med, LLC | Internal Medicine | Current | Accepting new patients |
| Premier Cardiovascular Center, PLC | Cardiovascular Disease | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- john.tretter@direct.pcvc.nextgenshare.com
- 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.
-
- Cardiovascular Disease Physician
- Chandler, AZ
- NPI 1669700993
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1528556495
-
- Cardiovascular Disease Physician
- Casa Grande, AZ
- NPI 1366766909
-
dba Sol Valley Surgery Center
- Ambulatory Surgical Clinic/Center
- Chandler, AZ
- NPI 1497367262
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Banner Casa Grande Medical Center
- General Acute Care Hospital
- Casa Grande, AZ
- NPI 1003232976
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
- Ton Casa Grande Health Center
- Dave Harish Topiwala, D.P.T.
- Torrens Family Chiropractic, LLC
- Terrie Kristen Torreros, MS
- Traditions Hospice of Arizona I, LLC (Traditions Health)
- Tri-Valley Cancer Research & Treatment Center, Inc.
- Tri-Valley Clinical Laboratory Inc
- Tried & Tru Psychological Wellbeing PLLC
- Tyler Trigg, O.D
- Natalie T Trujillo, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.