Individual provider Active NPI

John E Hortareas, DO

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1376536193
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3253 Issued in AZ
Practice address
9225 N 3Rd St
Ste 300
Phoenix, AZ 85020-2439
Phone
(602) 445-0751
Fax
(602) 424-8128
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3253 AZ Primary

Addresses

Primary practice location

9225 N 3Rd St
Ste 300
Phoenix, AZ 85020-2439

Mailing address

9225 N 3Rd St
Ste 300
Phoenix, AZ 85020-2439
Phone (602) 445-0751

Other identifiers 1

IdentifierTypeStateIssuer
409161MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050526000843 AZ Practitioner - Internal Medicine 8729020953 Reassigns benefits to 2 organizations
I20110802000443 CA Practitioner - Internal Medicine 8729020953 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Hospitalists PLCGroup PAC ID 6204822869, 84 clinicians

Practice addresses (Care Compare)

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 943-2381

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3253AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Hospitalists, PLC Internal Medicine CurrentSince Aug 1, 2003 Accepting new patients
Tahoe Forest Hospital District CurrentSince Mar 13, 2018 Accepting new patients
Tahoe Forest Hospital District Current Accepting new patients
Arizona Primary Care Partners LLC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Viewpoint Healthcare LLC Past Accepting new patients
Friendship Retirement Corporation Past Accepting new patients
Honorhealth Past Accepting new patients
Murphy Road Healthcare, Inc. Past Accepting new patients

Locations

9225 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 870-1821

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

9327 N 3rd St
Ste 206
Phoenix, AZ 85020
Phone (602) 944-4626

720 E Thunderbird Rd
Ste 3
Phoenix, AZ 85022
Phone (480) 531-1681

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

16772 W Bell Rd
Ste 110619
Surprise, AZ 85374
Phone (480) 466-0827

10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220

10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461

Interoperability endpoints

  • Direct secure messaging: jhortareas957748@directa.mercy.net

Organizations & group practices 10

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 2

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1376536193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST",
            "address_2": "STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202439",
            "telephone_number": "602-445-0751",
            "fax_number": "602-424-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST",
            "address_2": "STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202439",
            "telephone_number": "602-445-0751",
            "fax_number": "602-424-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTAREAS",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "3253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409161",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.