Individual provider Active NPI

Nicole Marie Sabatina, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lancaster, OH
National Provider Identifier
1316208929
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
34.011727 Issued in OH
Practice address
2384 N Memorial Dr
Lancaster, OH 43130-1637
Phone
(740) 689-4935
NPI assigned
May 31, 2012
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 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 34.011727 OH
Sports Medicine (Family Medicine) Physician 207QS0010X 34.011727 OH
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 34.011727 OH Primary

Addresses

Primary practice location

2384 N Memorial Dr
Lancaster, OH 43130-1637

Mailing address

1153 E Main St
Lancaster, OH 43130-4056

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
I20150909002931 OH Practitioner - Sports MedicinePractitioner - Family Practice 8729306238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
West Virginia School of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 689-6680

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.95 of 100Reported as group
Quality
43.39
Promoting interoperability
100
Improvement activities
40
Cost
76.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Healthcare Professionals Inc CurrentSince Aug 1, 2018 Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Aug 1, 2018 Accepting new patients

Locations

1055 W Market St
Ste H
Baltimore, OH 43105
Phone (740) 277-6043

1153 E Main St
Lancaster, OH 43130
Phone (740) 687-8990

1155 E Main St
Lancaster, OH 43130
Phone (740) 277-6043

131 N Ewing St
Ste C
Lancaster, OH 43130
Phone (740) 689-6600

216 Trace Dr
Lancaster, OH 43130
Phone (740) 277-6043

2384 N Memorial Dr
Lancaster, OH 43130
Phone (740) 687-2945

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1316208929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 N MEMORIAL DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301637",
            "telephone_number": "740-689-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABATINA",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.011727",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "34.011727",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OH",
            "license": "34.011727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.