JOHN R. BERTUSO MD – NPI #1427084342
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

JOHN BERTUSO is a physician located in KINGSPORT, TN. NPPES has assigned the NPI number 1427084342 to JOHN BERTUSO on June 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 12 years ago on Dec 03, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN BERTUSO below.

NPI Profile for
JOHN R. BERTUSO

NPI Number
1427084342
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN R. BERTUSO
Credentials
MD
Primary location
2050 MEADOWVIEW PARKWAY
KINGSPORT, TN 37660-7332
Phone: (423) 230-5000 Fax: (423) 230-5097
Mailing address
105 W STONE DR
SUITE 6A
KINGSPORT, TN 37660-3365
Phone: (423) 408-7220 Fax: (423) 408-7405
Sole Proprietor
No
Updated
Identifiers

Identifiers for JOHN BERTUSO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERUNITED HEALTHCARETN621112685
MEDICAIDKY060013324
MEDICAIDTN3030794
MEDICAIDVA600177
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
TN 18550

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JOHN BERTUSO is affiliated with the following medical group(s):
  • HOSPITAL
    • HAWKINS COUNTY MEMORIAL HOSPITAL
      851 LOCUST STREET
      ROGERSVILLE, TN 37857
    • INDIAN PATH COMMUNITY HOSPITAL
      2000 BROOKSIDE DR
      KINGSPORT, TN 37660
    • WELLMONT HOLSTON VALLEY MEDICAL CENTER
      130 WEST RAVINE ROAD
      KINGSPORT, TN 37662

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