Individual provider Active NPI

Leslie D. Klabbatz, M.D.

  • Emergency Medicine Physician
  • Brunswick, OH
National Provider Identifier
1083660112
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.069253 Issued in OH
Practice address
4065 Center Rd
Brunswick, OH 44212-2918
Phone
(440) 816-5585
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 35.069253 OH Primary
Personal Emergency Response Attendant 146D00000X 35069253K OH

Addresses

Primary practice location

4065 Center Rd
Brunswick, OH 44212-2918

Mailing address

8010 Brook Cir
Macedonia, OH 44056-2359
Phone (330) 468-5433

Other identifiers 3

IdentifierTypeStateIssuer
942460636157OtherOHCARESOURCE
P00283191OtherOHMEDICARE TRAVELERS RR-GA
2195002MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000330 OH Practitioner - Emergency MedicinePractitioner - General Surgery 9032102090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Surgery
Education
Medical College of Pennsylvania, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professional Services, Inc.Group PAC ID 7214832435, 121 clinicians

Practice addresses (Care Compare)

4065 Ctr Rd
Brunswick, OH 44212-2918
Phone (330) 558-0123

Hospital & facility affiliations

  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35069253KOHMDPersonal Emergency Response Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Multi-Specialty CurrentSince Jan 14, 2005 Accepting new patients
Oscar Nicholson Jr MD Inc Multi-Specialty Past Accepting new patients

Locations

2351 E 22nd St
Cleveland, OH 44115
Phone (216) 363-2536

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

7123 Pearl Rd
Ste 201
Middleburg Heights, OH 44130
Phone (440) 842-8800

33001 Solon Rd
Solon, OH 44139
Phone (440) 349-2273

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1083660112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 BROOK CIR",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562359",
            "telephone_number": "330-468-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 CENTER RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122918",
            "telephone_number": "440-816-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLABBATZ",
        "first_name": "LESLIE",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.069253",
            "primary": true
        },
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "OH",
            "license": "35069253K",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636157",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS RR-GA",
            "identifier": "P00283191",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2195002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

Verify at the official NPI Registry.