Active NPI
Todd James Batenhorst, M.D.
- Family Medicine Physician
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME82769
- Practice address
- 130 Health Park Blvd.
St. Augustine, FL 32086-5776 - Phone
- (904) 826-3469
- Fax
- (904) 808-4608
- NPI assigned
- Apr 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME82769 | FL | Primary |
Addresses
Primary practice location
130 Health Park Blvd.
St. Augustine, FL 32086-5776
Mailing address
PO Box 3266
St Augustine, FL 32085-3266
Phone (904) 518-1299
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080176505 | Other | FL | PALMETTO GBA RAILROAD MED |
| 26923500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 77.66
- Promoting interoperability
- 70.54
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flagler Professional Health Care Services, Inc. | Current | Accepting new patients | |
| Flagler Professional Health Care Services, Inc. | Family Medicine | Current | Accepting new patients |
Locations
351 Town Plaza Ave
Ste 101
Ponte Vedra, FL 32081
Phone (904) 819-3230
351 Town Plaza Ave
Ste 105A
Ponte Vedra, FL 32081
Phone (904) 819-3233
351 Town Plaza Ave
Ste 103
Ponte Vedra, FL 32081
Phone (904) 819-3032
120 Palencia Village Dr
Ste 107
Saint Augustine, FL 32095
Phone (904) 819-3200
120 Palencia Village Dr
Saint Augustine, FL 32095
Phone (904) 819-3200
70 Turin Ter
Ste 120
St Augustine, FL 32092
Phone (904) 819-3222
70 Turin Ter
Ste 100
St Augustine, FL 32092
Phone (904) 819-1101
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.
-
dba Flagler Health Imaging
- Radiology Clinic/Center
- St Augustine, FL
- NPI 1396300133
-
dba Flagler Health Primary Care
- Family Medicine Physician
- St Augustine, FL
- NPI 1023672573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1164489845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3266",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320853266",
"telephone_number": "904-518-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 HEALTH PARK BLVD.",
"city": "ST. AUGUSTINE",
"state": "FL",
"postal_code": "320865776",
"telephone_number": "904-826-3469",
"fax_number": "904-808-4608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATENHORST",
"first_name": "TODD",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME82769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RAILROAD MED",
"identifier": "080176505",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26923500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.