John Samuel Polechetti, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3315571 Issued in NY

Practice address

2200 S Houghton Rd
Tucson, AZ 85748-7632

Phone

(520) 742-9000

NPI assigned

Jun 28, 2006

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, AZ2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Medical Center Sahuarita Hospital, Sahuarita, AZ, CCN 030148
• Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
• Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northwest HBP Medical Services LLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1407353006
  Medicare reassignment Care Compare group NPD
• Great Lakes Surgical Associates, P.C.

  • Surgery Physician
  • Lockport, NY
  • NPI 1851574024
  Medicare reassignment NPD
• Niagara Frontier Anesthesia Services LLP

  • Certified Registered Nurse Anesthetist
  • West Seneca, NY
  • NPI 1962444505

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Polechetti Consulting LLC

  • Certified Registered Nurse Anesthetist
  • Buffalo, NY
  • NPI 1316688344

  Nurse Anesthetist, Certified Registered

  NPD Authorized official
• Parkside Medical Anesthesia Associates

  • Anesthesiology Physician
  • Buffalo, NY
  • NPI 1871537464

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Hospital LLC

  dba Northwest Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1487607784
  Care Compare affiliation
• Northwest Sahuarita Hospital LLC

  dba Northwest Medical Center Sahuarita

  • General Acute Care Hospital
  • Sahuarita, AZ
  • NPI 1851927669
  Care Compare affiliation
• Oro Valley Hospital LLC

  dba Oro Valley Hospital

  • General Acute Care Hospital
  • Oro Valley, AZ
  • NPI 1386697688
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1457389868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PINE ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945547",
            "telephone_number": "716-465-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S HOUGHTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857487632",
            "telephone_number": "520-742-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5846 Snyder Dr",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "NY",
            "postal_code": "140949497",
            "country_code": "US",
            "telephone_number": "716-433-3053",
            "fax_number": "716-433-3118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1408 Sweet Home Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142282783",
            "country_code": "US",
            "telephone_number": "716-243-8377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLECHETTI",
        "first_name": "JOHN",
        "middle_name": "SAMUEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "3315571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polaris Physical Therapy P.C.
• June Polatsek, M.A.
• Dawn M. Polcyn, EDS
• Tanya Elaine Polec, OD, FCOVD
• Will Polec, NMD
• Kimberly Joy Polegay, PHARMD
• Aimee Poleski, MA
• Michael Poling, PHARMD
• Sanjay Polisetty
• Funmilayo Gladys Polk, AGNP

• Certified Registered Nurse Anesthetist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.