Individual provider Active NPI

John P Breinholt III, MD

  • Pediatric Cardiology Physician
  • Tempe, AZ
National Provider Identifier
1760660369
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
59396 Issued in AZ
Practice address
7505 S McClintock Dr Ste 103
Tempe, AZ 85283-5042
Phone
(480) 755-1000
Fax
(480) 755-0011
NPI assigned
Feb 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X Q2254 TX
Pediatric Cardiology Physician 2080P0202X 01064746 IN
Pediatric Cardiology Physician 2080P0202X 59396 AZ Primary

Addresses

Primary practice location

7505 S McClintock Dr Ste 103
Tempe, AZ 85283-5042

Mailing address

7505 S McClintock Dr Ste 103
Tempe, AZ 85283-5042
Phone (480) 755-1000

Other identifiers 3

IdentifierTypeStateIssuer
7100104210MedicaidKY
200887980MedicaidIN
593837MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 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
I20230731000878 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 7618037466 Reassigns benefits to 1 organization
I20250403002722 NY Practitioner - Pediatric Medicine 7618037466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Milton S Hershey Medical Center Physicians GroupGroup PAC ID 3870405483, 1,606 clinicians

Practice addresses (Care Compare)

121 N Nyes Rd
Suite D
Harrisburg, PA 17112-3248
Phone (717) 531-8674

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01064746INMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Mar 3, 2025 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jun 17, 2023 Accepting new patients
Albany Medical College Pediatrics CurrentSince Mar 3, 2025 Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Jun 17, 2023 Accepting new patients
The Milton S Hershey Medical Center Past Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

121 N Nyes Rd
Ste D
Harrisburg, PA 17112
Phone (717) 531-8674

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

Interoperability endpoints

  • Direct secure messaging: jbreinholt217208@direct.valleywisehealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1760660369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 S MCCLINTOCK DR STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835042",
            "telephone_number": "480-755-1000",
            "fax_number": "480-755-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 S MCCLINTOCK DR STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835042",
            "telephone_number": "480-755-1000",
            "fax_number": "480-755-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREINHOLT",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "Q2254",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IN",
            "license": "01064746",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AZ",
            "license": "59396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100104210",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200887980",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "593837",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.