Individual provider Active NPI

John J Bartolozzi Jr., MD

  • Cardiovascular Disease Physician
  • Enid, OK
National Provider Identifier
1366445876
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
21462 Issued in OK
Practice address
2411 Heritage TRL Ste 10
Enid, OK 73703-1652
Phone
(580) 242-5800
Fax
(580) 242-5881
NPI assigned
May 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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 21462 OK Primary

Addresses

Primary practice location

2411 Heritage TRL Ste 10
Enid, OK 73703-1652

Mailing address

PO Box 946
Enid, OK 73702-0946
Phone (580) 242-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20040212000741 OK Practitioner - Cardiovascular Disease (Cardiology) 6709770902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Southern Illinois University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Marys Physician Associates LLCGroup PAC ID 3678672276, 28 clinicians

Practice addresses (Care Compare)

305 S 5TH St
Enid, OK 73701-5832
Phone (580) 233-6100

310 E Owen K Garriott Rd
Enid, OK 73701-5712
Phone (580) 249-3795

314 E Owen K Garriott Rd
St Mary'S Podiatry Clinic
Enid, OK 73701-5712
Phone (580) 249-3795

330 E Cherokee Ave
Enid, OK 73701-5714
Phone (580) 249-3904

330 S 5TH St
Suite 401
Enid, OK 73701-5863
Phone (580) 249-3898

Hospital & facility affiliations

  • St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026
  • Share Medical Center Hospital, Alva, OK, CCN 371341
  • Integris Health Ponca City Hospital, Ponca City, OK, CCN 370006
  • Fairview Regional Medical Center Authority Hospital, Fairview, OK, CCN 371329
  • Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21462OKMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Physician Associates, LLC CurrentSince Mar 1, 2022 Accepting new patients
St. Mary'S Physician Associates, LLC Cardiovascular Disease CurrentSince Mar 1, 2022 Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients

Locations

330 S 5th St
Ste 401
Enid, OK 73701
Phone (580) 233-9700

2411 Heritage Trl
Ste 10
Enid, OK 73703
Phone (580) 233-1425

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1366445876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 946",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737020946",
            "telephone_number": "580-242-5800",
            "fax_number": "580-242-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 HERITAGE TRL STE 10",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031652",
            "telephone_number": "580-242-5800",
            "fax_number": "580-242-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLOZZI",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "21462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.