Individual provider Active NPI

Corey Gregory Batiste, M.D.

  • Ophthalmology Physician
  • Vancouver, WA
National Provider Identifier
1235180696
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD60771806 Issued in WA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
222665MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070808000250 AZ Practitioner - Ophthalmology 8325042666 Reassigns benefits to 2 organizations
I20171114001891 TX Practitioner - Ophthalmology 8325042666 Reassigns benefits to 1 organization
I20210421001597 WA Practitioner - Ophthalmology 8325042666 Reassigns benefits to 1 organization

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
PeacehealthGroup PAC ID 8820178288, 245 clinicians

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

ProcedureNumber of procedures
Cataract surgery85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37045AZMDOphthalmology Physician
MD428632PAMDOphthalmology Physician
MD60771806WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians & Surgeons of Arizona, PC Ophthalmology CurrentSince Aug 1, 2007 Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2010 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 CurrentSince Jan 1, 2010 Accepting new patients
Peacehealth CurrentSince May 24, 2021 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Oct 7, 2017 Accepting new patients
Lechee Health Facility Ophthalmology CurrentSince Oct 7, 2017 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

  • Direct secure messaging: cbatiste476351@direct.peacehealth.org
  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.