Individual provider Active NPI

Robert J Bertoli, M.D.

  • Radiation Oncology Physician
  • Erie, PA
National Provider Identifier
1477601235
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
24590 Issued in TN
Practice address
2508 Myrtle St Ste 100
Erie, PA 16502-2700
Phone
(814) 452-5400
Fax
(814) 454-2003
NPI assigned
Jan 8, 2007
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 24590 TN Primary
Therapeutic Radiology Physician 2085R0203X 28279 TN

Addresses

Primary practice location

2508 Myrtle St Ste 100
Erie, PA 16502-2700

Mailing address

2508 Myrtle St Ste 100
Erie, PA 16502-2700
Phone (814) 452-5400

Other practice location 1

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (878) 323-4049

Other practice location 2

1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7380

Other practice location 3

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 267-6900

Other practice location 4

160 Gallery Dr Ste 800
Canonsburg, PA 15317-2690
Phone (724) 260-7250

Other practice location 5

6321 Route 30 Ste B
Greensburg, PA 15601-9704
Phone (724) 671-1740

Other practice location 6

160 Hollywood Dr
Butler, PA 16001-5600
Phone (724) 671-1440

Other practice location 7

81 Wagner Rd
Monaca, PA 15061-2329
Phone (724) 671-1540

Other identifiers 1

IdentifierTypeStateIssuer
3077791MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, PA2 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
I20100813000611 TN Practitioner - Radiation Oncology 1456308782 Reassigns benefits to 1 organization
I20240503000546 PA Practitioner - Radiation Oncology 1456308782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Mar 25, 2024 Accepting new patients
University Health System, Inc CurrentSince Oct 1, 2020 Accepting new patients
University Health System, Inc Current Accepting new patients
Allegheny Clinic CurrentSince Mar 25, 2024 Accepting new patients
Radiation Medicine Specialists, P.C. Radiation Oncology PastSince Jul 16, 2002 Accepting new patients

Locations

160 Hollywood Dr
Butler, PA 16001
Phone (724) 282-6175

2508 Myrtle St
Ste 100
Erie, PA 16502
Phone (814) 452-5400

6321 State Route 30
Ste B
Greensburg, PA 15601
Phone (724) 671-1740

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

160 Gallery Dr
Ste 800
Mc Murray, PA 15317
Phone (724) 260-7250

81 Wagner Rd
Monaca, PA 15061
Phone (724) 671-1500

2600 Haymaker Rd
Monroeville, PA 15146
Phone (412) 856-7740

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

1926 Alcoa Hwy
Ste 130
Knoxville, TN 37920
Phone (865) 305-9040

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1477601235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 MYRTLE ST STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022700",
            "telephone_number": "814-452-5400",
            "fax_number": "865-305-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 MYRTLE ST STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022700",
            "telephone_number": "814-452-5400",
            "fax_number": "814-454-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12311 Perry Hwy",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150908344",
            "country_code": "US",
            "telephone_number": "878-323-4049",
            "fax_number": "878-332-4475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Carlisle St",
            "address_purpose": "LOCATION",
            "city": "Natrona Heights",
            "state": "PA",
            "postal_code": "150651152",
            "country_code": "US",
            "telephone_number": "724-226-7380",
            "fax_number": "724-226-7324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "565 Coal Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Jefferson Hills",
            "state": "PA",
            "postal_code": "150253703",
            "country_code": "US",
            "telephone_number": "412-267-6900",
            "fax_number": "412-267-6909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Gallery Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Canonsburg",
            "state": "PA",
            "postal_code": "153172690",
            "country_code": "US",
            "telephone_number": "724-260-7250",
            "fax_number": "724-260-7272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6321 Route 30 Ste B",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156019704",
            "country_code": "US",
            "telephone_number": "724-671-1740",
            "fax_number": "724-523-7724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Hollywood Dr",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160015600",
            "country_code": "US",
            "telephone_number": "724-671-1440",
            "fax_number": "724-431-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Wagner Rd",
            "address_purpose": "LOCATION",
            "city": "Monaca",
            "state": "PA",
            "postal_code": "150612329",
            "country_code": "US",
            "telephone_number": "724-671-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTOLI",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "24590",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "TN",
            "license": "28279",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077791",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.