Individual provider Active NPI

Fredrick J Bartoletti, M.D.

  • Emergency Medicine Physician
  • Anaconda, MT
National Provider Identifier
1508989971
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
11392 Issued in MT
Practice address
401 W Pennsylvania Ave
Anaconda, MT 59711
Phone
(406) 563-8500
NPI assigned
Apr 9, 2007
Last updated
May 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 11392 MT Primary

Addresses

Primary practice location

401 W Pennsylvania Ave
Anaconda, MT 59711

Mailing address

401 W Pennsylvania Ave
Anaconda, MT 59711-1931
Phone (406) 563-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20070816000618 MT Practitioner - Emergency Medicine 1557453883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Washington School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital of AnacondaGroup PAC ID 8123938974, shared by 5 NPIs, 45 clinicians

Practice addresses (Care Compare)

401 W Pennsylvania Ave
Anaconda, MT 59711-1931
Phone (406) 563-8500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of Anaconda CurrentSince Dec 9, 2013 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Community Hospital of Anaconda CurrentSince Dec 9, 2013 Accepting new patients
Clark Fork Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571

401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Hospital of AnacondaAnaconda, MT, CCN 271335 Hospital Corporate Director Sep 1, 2016
Community Hospital of AnacondaAnaconda, MT, CCN 27Z335 Hospital Corporate Director Sep 1, 2016
Pintler Home Options - Pintler Home HealthAnaconda, MT, CCN 277093 Home health agency Corporate Director Sep 1, 2016
Pintler Home Options - Anaconda Pintler HospiceAnaconda, MT, CCN 271506 Hospice Corporate Director Sep 1, 2016

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1508989971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111931",
            "telephone_number": "406-563-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "59711",
            "telephone_number": "406-563-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLETTI",
        "first_name": "FREDRICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "11392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

Verify at the official NPI Registry.