Leomar M Bautista

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

34.014502 Issued in OH

Practice address

9500 Euclid Ave
Cleveland, OH 44195-9020

Phone

(216) 444-2200

NPI assigned

Apr 29, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, WI, AL, AZ4 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 4

Specialty

Diagnostic Radiology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wetumpka Urgent Care LLC 50 clinicians

Chilton Family Care, LLC 14 clinicians

Radiology Alliance PC 449 clinicians

Clarksville Imaging Center LLC 13 clinicians

River Region Family Medicine, LLC 56 clinicians

Middle Tennessee Imaging LLC 121 clinicians

Adi Radiology PC 153 clinicians

Ivy Creek Family Care of Lake Martin 17 clinicians

Concord Radiology PLLC 217 clinicians

Enterprise Urgent Care 35 clinicians

Ivy Creek of Elmore LLC 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
• Nacogdoches Medical Center Hospital, Nacogdoches, TX, CCN 450656
• Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035
• Williamson Medical Center Hospital, Franklin, TN, CCN 440029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations (25 of 42)

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.

• Adi Radiology PC

  • Diagnostic Radiology Physician
  • Franklin, TN
  • NPI 1083266761

  Diagnostic Radiology, TN

  Medicare reassignment Care Compare group NPD
• Chilton Family Care, LLC

  • Family Medicine Physician
  • Clanton, AL
  • NPI 1366857674

  AL, Family Medicine

  Medicare reassignment Care Compare group NPD
• Clarksville Imaging Center LLC

  • Diagnostic Radiology Physician
  • Clarksville, TN
  • NPI 1043285539

  Diagnostic Radiology, TN

  Medicare reassignment Care Compare group NPD
• Concord Radiology PLLC

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1598260515

  Diagnostic Radiology, TN

  Medicare reassignment Care Compare group NPD
• Enterprise Urgent Care

  • Urgent Care Clinic/Center
  • Enterprise, AL
  • NPI 1285180729

  AL

  Medicare reassignment Care Compare group NPD
• Ivy Creek Family Care of Lake Martin

  • Urgent Care Clinic/Center
  • Dadeville, AL
  • NPI 1609572890

  AL, Family Medicine

  Medicare reassignment Care Compare group NPD
• Ivy Creek of Elmore, LLC

  • Rural Health Clinic/Center
  • Tallassee, AL
  • NPI 1558868323

  AL

  Medicare reassignment Care Compare group NPD
• Radiology Alliance PC

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1861478489

  Diagnostic Radiology, TN

  Medicare reassignment Care Compare group NPD
• Wetumpka Urgent Care LLC

  • Urgent Care Clinic/Center
  • Wetumpka, AL
  • NPI 1194057554

  AL

  Medicare reassignment Care Compare group NPD
• Middle Tennessee Imaging LLC

  • Diagnostic Radiology Physician
  • Dickson, TN
  • NPI 1770667289

  TN

  Medicare reassignment Care Compare group
• River Region Family Medicine, LLC

  • Family Medicine Physician
  • Wetumpka, AL
  • NPI 1578195525

  AL

  Medicare reassignment Care Compare group
• Coaxion PLLC

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1629805221

  Diagnostic Radiology, TN

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clarksville Health System, LLC

  • General Acute Care Hospital
  • Clarksville, TN
  • NPI 1285689794

  Hospital

  Care Compare affiliation
• Saint Thomas West Hospital

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1629025648

  Hospital

  Care Compare affiliation
• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368

  Hospital

  Care Compare affiliation
• St John Medical Center Inc

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1578656161

  Hospital

  Care Compare affiliation
• TH Healthcare, LTD

  • General Acute Care Hospital
  • Nacogdoches, TX
  • NPI 1700885076

  Hospital

  Care Compare affiliation
• Williamson County Hospital District

  • General Acute Care Hospital
  • Franklin, TN
  • NPI 1265445506

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1477930337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441959020",
            "telephone_number": "216-444-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741279020",
            "country_code": "US",
            "telephone_number": "918-599-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "LEOMAR",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34.014502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Bause, M.D., M.P.H.
• Alisha Bausone
• Irene H Bautista, MD
• Jan R Bautista, MD
• Jocelyn Bautista, MD
• Remigio Lopez Bautista, MD
• Kivin Bauzo
• Justin Bauzon
• Tejeshwar Singh Bawa, MD
• Disha Baxi

• All providers in Cleveland, OH
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.

Verify at the official NPI Registry.