Active NPI
John Robert Hartono, MD
- Nephrology Physician
- Garland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- P0223
- Practice address
- 7150 N President George Bush Hwy Ste 205
Garland, TX 75044-2210 - Phone
- (972) 276-0139
- Fax
- (972) 276-0149
- NPI assigned
- Jul 25, 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | P0223 | TX | Primary |
Addresses
Primary practice location
7150 N President George Bush Hwy Ste 205
Garland, TX 75044-2210
Mailing address
4708 Alliance Blvd
Suite 600
Plano, TX 75093-5340
Phone (469) 467-0011
Other practice location 1
4708 Alliance Blvd Ste 600
Plano, TX 75093-5368
Phone (469) 467-0011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 285504101 | Medicaid | TX | |
| 285504102 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Nephrology
- Education
- University of Minnesota Medical School, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7150 N President George Bush Hwy
Suite 205
Garland, TX 75044-2210
Phone (972) 276-0139
Hospital & facility affiliations
- DaVita Garland Dialysis
- DaVita Wylie Dialysis
- Methodist Richardson Medical Center
- Baylor Scott & White the Heart Hospital Plano
- Baylor Scott and White Medical Center McKinney
- Baylor Scott & White Medical Center Plano
- Medical City Plano
- Encompass Health Rehabilitation Hospital of Plano
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.38 of 100
- Quality
- 73.64
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Kidney Care of North Texas, P.L.L.C. | Nephrology | Current | Accepting new patients |
| Advanced Kidney Care of North Texas, P.L.L.C. | Nephrology | Current | Accepting new patients |
Locations
7150 N President George Bush Hwy
Ste 205
Garland, TX 75044
Phone (972) 276-0139
4708 Alliance Blvd
Ste 600
Plano, TX 75093
Phone (469) 467-0011
Interoperability endpoints
- https://api.platform.athenahealth.com/2940/brand/1/csg/1/fhir/r4
- john.hartono.1@2940.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Nephrology Physician
- Plano, TX
- NPI 1497981211
-
- Nephrology Physician
- Garland, TX
- NPI 1003042177
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wylie, TX
- NPI 1730466673
Dialysis facility
-
- General Acute Care Hospital
- Plano, TX
- NPI 1649273434
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1124305065
-
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
- Rehabilitation Hospital
- Plano, TX
- NPI 1144294893
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Richardson, TX
- NPI 1033165501
-
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1477576965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4708 ALLIANCE BLVD",
"address_2": "SUITE 600",
"city": "PLANO",
"state": "TX",
"postal_code": "750935340",
"telephone_number": "469-467-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7150 N PRESIDENT GEORGE BUSH HWY STE 205",
"city": "GARLAND",
"state": "TX",
"postal_code": "750442210",
"telephone_number": "972-276-0139",
"fax_number": "972-276-0149"
}
],
"practiceLocations": [
{
"address_1": "4708 Alliance Blvd Ste 600",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750935368",
"country_code": "US",
"telephone_number": "469-467-0011",
"fax_number": "469-467-4923",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTONO",
"first_name": "JOHN",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "P0223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "285504101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "285504102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.