Individual provider Active NPI

Sean A. Cupp, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Euclid, OH
National Provider Identifier
1114985173
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
35.124490 Issued in OH
Practice address
24701 Euclid Ave
3Rd Floor
Euclid, OH 44117-1714
Phone
(216) 844-7200
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0430814 KS
Sports Medicine (Family Medicine) Physician 207QS0010X 0430814 KS
Sports Medicine (Family Medicine) Physician 207QS0010X 35.124490 OH Primary

Addresses

Primary practice location

24701 Euclid Ave
3Rd Floor
Euclid, OH 44117-1714

Mailing address

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-7200

Other identifiers 2

IdentifierTypeStateIssuer
200307140AMedicaidKS
0109771MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address seancupp@uhps.allscriptsdirect.net
Direct Messaging Address seancupp@uhps.allscriptsdirect.net
Direct Messaging Address seancupp@uhps.allscriptsdirect.net

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
I20140924000301 OH Practitioner - Family PracticePractitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1153399662 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0430814KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Aug 27, 2014 Accepting new patients
Multicare Health System Sports Medicine Past Accepting new patients

Locations

1000 Auburn Dr
Beachwood, OH 44122
Phone (216) 285-4125

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

11100 Euclid Ave
Cleveland Heights, OH 44106

24701 Euclid Ave
Fl 3
Euclid, OH 44117
Phone (216) 383-6950

960 Clague Rd
Ste 3110
Westlake, OH 44145
Phone (440) 250-2460

960 Clague Rd
Westlake, OH 44145
Phone (440) 250-2001

Interoperability endpoints

  • Direct secure messaging: scupp36273@ehrdirect.uhhospitals.org

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 8

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

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Oklahoma College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group Inc 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (216) 593-5500

960 Clague Rd
Suite 2420
Westlake, OH 44145-1582
Phone (216) 844-5661

Hospital & facility affiliations

  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1114985173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "3RD FLOOR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "216-844-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPP",
        "first_name": "SEAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0430814",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KS",
            "license": "0430814",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35.124490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200307140A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109771",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seancupp@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1000 Auburn Dr",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441224317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seancupp@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "960 Clague Rd",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441451582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seancupp@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "24701 Euclid Ave",
            "address_2": "3rd Floor",
            "city": "Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441171714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.