Active NPI
Humberto Ramon Dorta, M.D.
- Psychiatry Physician
- Meadville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD427348
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Titusville Area Hospital
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Titusville Area Hospital | Current | Accepting new patients | |
| Titusville Area Hospital | Current | Accepting new patients | |
| Titusville Area Hospital | Current | Accepting new patients | |
| Meadville Medical Center | Psychiatry | Current | 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
- mdorta@mchcbh.direct.emds.com
- 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.
-
- Rural Health Clinic/Center
- Titusville, PA
- NPI 1316471212
-
- Rural Health Clinic/Center
- Meadville, PA
- NPI 1962964981
-
- Audiologist
- Titusville, PA
- NPI 1306712104
-
- Rural Health Clinic/Center
- Cambridge Springs, PA
- NPI 1710449632
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Meadville, PA
- NPI 1710031836
-
- General Acute Care Hospital
- Meadville, PA
- NPI 1942276423
-
- Internal Medicine Physician
- Meadville, PA
- NPI 1962804955
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meadville, PA
- NPI 1942276423
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.