JOHN GUST HATANELAS DO
NPI 1225379795
Internal Medicine - Cardiovascular Disease in Columbus, OH
About John Gust Hatanelas Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN GUST HATANELAS DO (NPI 1225379795) is an individual cardiovascular disease provider in Columbus, Ohio, licensed in Ohio (34.012041) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Gust Hatanelas Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show John Hatanelas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, OH 43214
- Reassigned Medicare billing, Ohio enrollment
- 3,314 clinicians in this Medicare group
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 776 clinicians in this Medicare group
Lorain, OH 44053
- Reassigned Medicare billing, Ohio enrollment
- 325 clinicians in this Medicare group
Wall, SD 57790
- Reassigned Medicare billing, South Dakota, Nebraska and Wyoming enrollments
- Also billed through NPI 1275553463 (Wyoming)
- 831 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 23
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Methodist Hospital
Acute Care Hospitals · Columbus, OHGrant Medical Center
Acute Care Hospitals · Columbus, OHDoctors Hospital
Acute Care Hospitals · Columbus, OHMonument Health Spearfish Hospital
Acute Care Hospitals · Spearfish, SDMonument Health Rapid City Hospital
Acute Care Hospitals · Rapid City, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43228 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBUS, OH 43228
COLUMBUS, OH 43228
COLUMBUS, OH 43228
COLUMBUS, OH 43228
COLUMBUS, OH 43228
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Hatanelas's NPI number?
The NPI number for John Hatanelas is 1225379795. It was assigned to this individual provider in the NPPES registry on March 8, 2013.
Where is John Hatanelas located?
John Hatanelas practices at 5131 Beacon Hill Rd Ste 220B, Columbus, OH 43228. The listed phone number is (614) 544-1555.
What is John Hatanelas's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is John Hatanelas enrolled in Medicare?
Yes. John Hatanelas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for John Hatanelas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Hatanelas reassigns Medicare benefits to 4 organizations: Ohiohealth Corporation (Columbus, OH), Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH), Community Hospitalist, LLC (Lorain, OH) and Monument Health Rapid City Hospital, Inc. (Wall, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Hatanelas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Hatanelas accept?
Health plans from Anthem Blue Cross and Blue Shield, Avera Health Plans, Blue Cross Blue Shield of Wyoming, MedMutual and Oscar Insurance Company and 2 other insurers list John Hatanelas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is John Hatanelas affiliated with any hospitals?
According to CMS data, John Hatanelas is affiliated with Riverside Methodist Hospital, Grant Medical Center, Doctors Hospital, Monument Health Spearfish Hospital and Monument Health Rapid City Hospital.
When was this NPI record last updated?
The NPPES record for John Hatanelas was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.