Active NPI
Henry G Delatorre, M.D.
- General Practice Physician
- Du Bois, PA
National Provider Identifier
1356355218
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Jan 19, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD-027890-E
- Practice address
- 90 Beaver Dr Ste 214D
Du Bois, PA 15801-2441 - Phone
- (814) 375-2287
- NPI assigned
- Jul 28, 2006
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD-027890-E | PA | Primary |
Addresses
Primary practice location
90 Beaver Dr Ste 214D
Du Bois, PA 15801-2441
Mailing address
90 Beaver Dr Ste 214D
Du Bois, PA 15801-2441
Phone (814) 375-2287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008837220002 | Medicaid | PA |
Other names 1
- Dr. Henry Dela Torre
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-027890-E | PA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubois Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Ridgway, PA
- NPI 1366900458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402531200000",
"number": "1356355218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 BEAVER DR STE 214D",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158012441",
"telephone_number": "814-375-2287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 BEAVER DR STE 214D",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158012441",
"telephone_number": "814-375-2287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELATORRE",
"first_name": "HENRY",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2014-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MD-027890-E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008837220002",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HENRY",
"last_name": "DELA TORRE",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.