DR. JOHN R FONTANILLA M.D. NPI 1669688412

NPI Details

DR. John R Fontanilla, M.D. is a nephrology internal medicine in Philadelphia, PA with 19 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. John R Fontanilla, M.D. NPI is 1669688412. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:2006

The provider's business location address is:

4453 CASTOR AVE
SUITE B
PHILADELPHIA, PA
ZIP 19124-846
Phone: (215) 744-2266
Fax: (215) 743-9247

The NPI 1669688412 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
• Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
• Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
• Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
• Hemodialysis procedure with physician evaluation (HCPCS:90935)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
• Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
• Review by radiologist of arm or leg artery image (HCPCS:75710)
• Balloon dilation of dialysis segment with review by radiologist (HCPCS:36907)
• Insertion of tube into chest or arm artery, each first order branch (HCPCS:36215)
• Removal of tunneled central venous tube (HCPCS:36589)
• Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
• Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes (HCPCS:99153)
• Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 5/15/2007 and was last updated on 7/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.