Individual provider Active NPI

Dominic V Sanniti, DO

  • Family Medicine Physician
  • Middlefield, OH
National Provider Identifier
1386937472
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-011233 Issued in OH
Practice address
15976 E High St
Middlefield, OH 44062-9474
Phone
(440) 632-0408
Fax
(440) 632-0601
NPI assigned
May 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X GA
Family Medicine Physician 207Q00000X 34-011233 OH Primary
Family Medicine Physician 207Q00000X 68553 GA

Addresses

Primary practice location

15976 E High St
Middlefield, OH 44062-9474

Mailing address

24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (440) 632-0408

Other identifiers 1

IdentifierTypeStateIssuer
003129891AMedicaidGA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dominicsanniti@uhps.allscriptsdirect.net
Direct Messaging Address dominicsanniti@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140716001027 OH Practitioner - Family Practice 8426201575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13221 Ravenna Rd
Suite 9
Chardon, OH 44024-9016
Phone (440) 285-3030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68553GAMDFamily Medicine Physician
34-011233OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients
Uh Regional Hospitals Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

15976 E High St
Middlefield, OH 44062
Phone (440) 632-0408

Interoperability endpoints

  • Direct secure messaging: dsanniti37445@ehrdirect.uhhospitals.org

Organizations & group practices 5

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.

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": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1386937472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FLOOR BILLING SERVICES",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "440-632-0408",
            "fax_number": "440-632-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15976 E HIGH ST",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629474",
            "telephone_number": "440-632-0408",
            "fax_number": "440-632-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANNITI",
        "first_name": "DOMINIC",
        "middle_name": "V",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-011233",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "68553",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003129891A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dominicsanniti@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "15976 E High St",
            "city": "Middlefield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440629474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dominicsanniti@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "15976 E High St",
            "city": "Middlefield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440629474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middlefield, OH

Sources for this page

Verify at the official NPI Registry.