Active NPI
Sean A. Cupp, M.D.
- Sports Medicine (Family Medicine) Physician
- Euclid, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 35.124490
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200307140A | Medicaid | KS | |
| 0109771 | Medicaid | OH |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140924000301 | OH | Practitioner - Family Practice | 1153399662 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0430814 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
OH
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beachwood, OH
- NPI 1609189604
Hospital
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
Hospital
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
-
- General Acute Care Hospital
- Westlake, OH
- NPI 1841264868
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
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
- Uh Cleveland Medical Center
- Uh Regional Hospitals
- Uh St John Medical Center
- Cleveland Clinic
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.