Active NPI
Corey Gregory Batiste, M.D.
- Ophthalmology Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD60771806
- Practice address
- 505 NE 87TH Ave Ste 100
Vancouver, WA 98664-4801 - Phone
- (360) 514-7210
- Fax
- (360) 514-7211
- NPI assigned
- May 12, 2006
- Last updated
- Feb 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD428632 | PA | |
| Ophthalmology Physician | 207W00000X | 37045 | AZ | |
| Ophthalmology Physician | 207W00000X | MD60771806 | WA | Primary |
Addresses
Primary practice location
505 NE 87TH Ave Ste 100
Vancouver, WA 98664-4801
Mailing address
20542 N Lake Pleasant Rd
Ste 105
Peoria, AZ 85382-9749
Phone (602) 753-2700
Other practice location 1
20542 N Lake Pleasant Rd
Ste 105
Peoria, AZ 85382-9749
Phone (602) 753-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222665 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Wayne State University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 NE 87TH Ave
Vancouver, WA 98664-1965
8821 NE 5TH St
Vancouver, WA 98664-3200
Phone (360) 514-1900
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 85 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37045 | AZ | MD | Ophthalmology Physician |
| MD428632 | PA | MD | Ophthalmology Physician |
| MD60771806 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Physicians & Surgeons of Arizona, PC | Ophthalmology | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Ophthalmology | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Lechee Health Facility | Ophthalmology | Current | Accepting new patients |
| District Medical Group, Inc | Past | Accepting new patients |
Locations
5620 W Thunderbird Rd
Ste H3
Glendale, AZ 85306
Phone (602) 424-0866
6677 W Thunderbird Rd
Ste 101
Glendale, AZ 85306
6677 W Thunderbird Rd
Ste F101
Glendale, AZ 85306
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100
505 NE 87th Ave
Ste 100
Vancouver, WA 98664
Phone (360) 256-1902
505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854
Interoperability endpoints
- cbatiste476351@direct.peacehealth.org
- https://api.platform.athenahealth.com/1615/brand/1/csg/1/fhir/r4
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Ophthalmology Physician
- Glendale, AZ
- NPI 1124140504
-
dba Tuba City Indian Medical Center
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
Ophthalmology, TX
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1568795532
-
dba Bodaway Gap Clinic
- Family Medicine Physician
- Bodaway Gap, AZ
- NPI 1710519913
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1295968162
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PeaceHealth SW Heart & Vascular Center
- Cardiovascular Disease Physician
- Vancouver, WA
- NPI 1003194911
Hospital
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1235180696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20542 N LAKE PLEASANT RD",
"address_2": "STE 105",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853829749",
"telephone_number": "602-753-2700",
"fax_number": "480-359-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 NE 87TH AVE STE 100",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986644801",
"telephone_number": "360-514-7210",
"fax_number": "360-514-7211"
}
],
"practiceLocations": [
{
"address_1": "20542 N Lake Pleasant Rd",
"address_2": "Ste 105",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853829749",
"country_code": "US",
"telephone_number": "602-753-2700",
"fax_number": "480-359-4424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATISTE",
"first_name": "COREY",
"middle_name": "GREGORY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD428632",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "37045",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD60771806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "222665",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.