DR. JOHN H. JR. HART (MD) – Internal Medicine Physician, NPI 1104904945

DR. JOHN H. JR. HART (MD) is a healthcare provider. based in Susanville, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. G81027 (CA). The NPI Number for DR. JOHN H. JR. HART (MD) is 1104904945

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN H. JR. HART (MD)
NPI
1104904945
Phone
(303) 390-1940
Address
1800 Spring Ridge Dr
Enumeration Date
1 November 2006
Last Update Date
20 May 2025

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
7079355000
Graduation Year
1993 (33 years ago)
PAC ID
1850441486
Group Practice PAC ID
6103150347
Professional Enrollment ID
I20090602000629
Address ID
CA954766811SO347XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for DR. JOHN H. JR. HART (MD)

  • 1800 Spring Ridge Dr

    Susanville, CA 961306100

    Phone: (303) 390-1940

    Type: Location

  • 444 Bruce St

    Yreka, CA 960973450

    Phone: (303) 390-1940

    Type: Location

  • Stockton Post Office, 401, North San Joaquin Street, Stockton, San Joaquin County, California, 95202, United States

    STOCKTON, CA 952670096

    Phone: (209) 956-7725

    Fax: (209) 956-7733

    Type: Mailing

  • 10, Woodland Road, Saint Helena Parish, Louisiana, 70422, United States

    SAINT HELENA, CA 945749554

    Phone: (707) 963-6399

    Fax: (707) 967-5915

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090602000629IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes16173$0
99239Hospital discharge day management, more than 30 minutes7971$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4342$0
99497Advance care planning, first 30 minutes3029$0
View full utilization report →

Insurance plans in this area (ZIP 96130)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103150347View full group profile
NameSpecialtyState
H O S P I T A L I S TCA
Hospitalist, Family PracticeCA
-CA
Internal MedicineCA
Hospitalist, Internal MedicineCA
Hospitalist, Internal Medicine, Pulmonary DiseaseCA
Family Practice, Internal MedicineCA

Reviews

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Frequently asked questions

Does DR. JOHN H. JR. HART (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOHN H. JR. HART (MD) uses 1104904945.
Does the file indicate DR. JOHN H. JR. HART (MD) is practicing under active NPI?
Directory data currently reports DR. JOHN H. JR. HART (MD) as active.
What is DR. JOHN H. JR. HART (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. JOHN H. JR. HART (MD) here. Clinical services aligned with this taxonomy classification.
Does DR. JOHN H. JR. HART (MD) list a practice location?
Patients near Susanville, California may find DR. JOHN H. JR. HART (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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