JOHN ROBERT HARTONO (MD) – Nephrology Physician, NPI 1477576965

JOHN ROBERT HARTONO (MD) is a healthcare provider. based in Plano, Texas. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. P0223 (TX). The NPI Number for JOHN ROBERT HARTONO (MD) is 1477576965

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JOHN ROBERT HARTONO (MD)
NPI
1477576965
Phone
(469) 467-0011
Address
4708 Alliance Blvd Ste 600
Enumeration Date
25 July 2006
Last Update Date
13 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9722760139
Graduation Year
2004 (22 years ago)
PAC ID
5890968713
Group Practice PAC ID
6002957271
Professional Enrollment ID
I20111109000160
Address ID
TX750442210GA7150XHWYX605
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,168 NEPHROLOGY in TX

Provider Addresses for JOHN ROBERT HARTONO (MD)

  • 4708 Alliance Blvd Ste 600

    Plano, TX 750935368

    Phone: (469) 467-0011

    Fax: (469) 467-4923

    Type: Location

  • 4708, Alliance Boulevard, Plano, Collin County, Texas, 75093, United States

    SUITE 600

    PLANO, TX 750935340

    Phone: (469) 467-0011

    Type: Mailing

  • 7150 N PRESIDENT GEORGE BUSH HWY STE 205

    GARLAND, TX 750442210

    Phone: (972) 276-0139

    Fax: (972) 276-0149

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $372.

Total Amount is formed as General ($372) + Research ($0) + Ownership ($0) = $372.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($140).

Total Amount

$372

General + Research + Ownership

Payments

13

Total payment records

General Amount

$372

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-11-09

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
I20111109000160INephrologyTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes778253$0
99214Established patient office or other outpatient visit, 30-39 minutes466232$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)17327$0
90935Hemodialysis procedure with physician evaluation6135$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)5127$0
View full utilization report →

Insurance plans in this area (ZIP 75093)

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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: 6002957271View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nephrology, Internal MedicineTX
N E P H R O L O G YTX
N E P H R O L O G YTX
N E P H R O L O G YTX
Nurse PractitionerTX
N E P H R O L O G YTX

Reviews

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Frequently asked questions

How do I look up JOHN ROBERT HARTONO (MD) by NPI?
Use NPI 1477576965 when you need to reference JOHN ROBERT HARTONO (MD) in forms, claims, or directories.
Is JOHN ROBERT HARTONO (MD) active in the national directory?
JOHN ROBERT HARTONO (MD)'s public NPI profile is in an active state.
What kind of provider is JOHN ROBERT HARTONO (MD)?
The page reflects Nephrology Physician for JOHN ROBERT HARTONO (MD). Clinical services aligned with this taxonomy classification.
Where is JOHN ROBERT HARTONO (MD)'s primary listing?
We display Plano, Texas because that is what the record indicates for JOHN ROBERT HARTONO (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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