Individual provider Active NPI

Humberto Ramon Dorta, M.D.

  • Psychiatry Physician
  • Meadville, PA
National Provider Identifier
1629044128
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD427348 Issued in PA
Practice address
18201 Conneaut Lake Rd
Meadville, PA 16335
Phone
(814) 333-5061
Fax
(814) 333-5067
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD427348 PA Primary

Addresses

Primary practice location

18201 Conneaut Lake Rd
Meadville, PA 16335

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-5061

Other practice location 1

640 Alden St
Meadville, PA 16335-2348
Phone (814) 373-5266

Other practice location 2

406 West Oak St
Titusville, PA 16354-1404
Phone (814) 333-5061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20051021000022 PA Practitioner - Psychiatry 6103877253 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rutgers New Jersey Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians
Titusville Area HospitalGroup PAC ID 8022907575, shared by 16 NPIs, 77 clinicians

Practice addresses (Care Compare)

1034 Grove St
Meadville, PA 16335-2945

18201 Conneaut Lake Rd
Meadville, PA 16335-3757
Phone (814) 333-5060

640 Alden St
Meadville, PA 16335-2348
Phone (814) 333-7086

751 Liberty St
Meadville, PA 16335-2559

Hospital & facility affiliations

  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Titusville Area Hospital CurrentSince Jun 1, 2019 Accepting new patients
Titusville Area Hospital CurrentSince Jul 1, 2020 Accepting new patients
Titusville Area Hospital CurrentSince Jun 1, 2019 Accepting new patients
Meadville Medical Center Psychiatry CurrentSince Jan 26, 2019 Accepting new patients
Titusville Area Hospital Current Accepting new patients
Meadville Medical Center Past Accepting new patients
Primary Care Services Past Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

906 Washington St
Conneautville, PA 16406
Phone (814) 373-2276

18201 Conneaut Lake Rd
Ste B
Meadville, PA 16335

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

640 Alden St
Meadville, PA 16335
Phone (814) 373-5255

18201 Conneaut Lake Rd
Meadville, PA 16335
Phone (814) 333-5060

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

Interoperability endpoints

  • Direct secure messaging: mdorta@mchcbh.direct.emds.com
  • Direct secure messaging: hdorta@meadvillepsychiatric.direct.emds.com

Organizations & group practices 8

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 1

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1629044128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-5061",
            "fax_number": "814-333-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18201 CONNEAUT LAKE RD",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "16335",
            "telephone_number": "814-333-5061",
            "fax_number": "814-333-5067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Alden St",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352348",
            "country_code": "US",
            "telephone_number": "814-373-5266",
            "fax_number": "814-373-5269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 West Oak St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541404",
            "country_code": "US",
            "telephone_number": "814-333-5061",
            "fax_number": "814-333-5067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORTA",
        "first_name": "HUMBERTO",
        "middle_name": "RAMON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD427348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.