Individual provider Active NPI

Patrick P Litam, MD

  • Hematology & Oncology Physician
  • Elyria, OH
National Provider Identifier
1447203054
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
61210 Issued in OH
Practice address
41201 Schadden Rd
Suite 2
Elyria, OH 44035-2220
Phone
(440) 324-0401
Fax
(440) 324-0405
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 61210 OH Primary

Addresses

Primary practice location

41201 Schadden Rd
Suite 2
Elyria, OH 44035-2220

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (239) 432-8331

Other identifiers 8

IdentifierTypeStateIssuer
341832420032OtherOHCARESOURCE
55077OtherOHQUAL CHOICE
3600179OtherOHUNITED HEALTHCARE
E61210OtherOHSUMMACARE
000000139926OtherOHANTHEM
830003427OtherOHRAILROAD MEDICARE
2003692MedicaidOH
10883OtherOHOHIO HEALTH CHOICE

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
I20100803000685 OH Practitioner - Hematology/Oncology 0941274104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
State University of Ny Upstate Medical University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

3100 Plaza Properties Blvd
Columbus, OH 43219-1530
Phone (614) 383-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61210OHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Hematology & Oncology CurrentSince Aug 1, 2019 Accepting new patients

Locations

9160 Forum Corporate Pkwy
Ste 350
Fort Myers, FL 33905
Phone (239) 785-3200

3100 Plaza Properties Blvd
Columbus, OH 43219
Phone (614) 383-6000

41201 Schadden Rd
Ste 2
Elyria, OH 44035
Phone (440) 324-0401

Interoperability endpoints

  • Direct secure messaging: patrick.litam@10469.chartlogic.direct-ci.com

Organizations & group practices 1

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 4

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1447203054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "239-432-8331",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41201 SCHADDEN RD",
            "address_2": "SUITE 2",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352220",
            "telephone_number": "440-324-0401",
            "fax_number": "440-324-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITAM",
        "first_name": "PATRICK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "61210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341832420032",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "55077",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3600179",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE",
            "identifier": "E61210",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000139926",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "830003427",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003692",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO HEALTH CHOICE",
            "identifier": "10883",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.