Individual provider Active NPI

Jared Michael Lizzi, D.O.

  • Emergency Medicine Physician
  • Sandusky, OH
National Provider Identifier
1619331030
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.013931 Issued in OH
Practice address
1111 Hayes Ave
Sandusky, OH 44870-3323
Phone
(419) 202-1705
Fax
(419) 626-8316
NPI assigned
Apr 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.013931 OH Primary

Addresses

Primary practice location

1111 Hayes Ave
Sandusky, OH 44870-3323

Mailing address

401 Matthew St
Emergency Medicine Residency Program
Marietta, OH 45750-1635
Phone (740) 568-5669

Other practice location 1

401 Matthew St
Emergency Medicine Residency Program
Marietta, OH 45750-1635
Phone (740) 568-5669

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
I20190521001872 OH Practitioner - Emergency Medicine 8123361821 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professional Services, Inc.Group PAC ID 7214832435, 121 clinicians

Practice addresses (Care Compare)

615 Fulton St
Port Clinton, OH 43452-2001
Phone (419) 734-3131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.62 of 100Reported as individual
Quality
70.56
Improvement activities
0
Cost
72.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.013931OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 1, 2026 Accepting new patients
Firelands Regional Medical Center Current Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Apr 29, 2025 Accepting new patients
Lorain Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 1, 2026 Accepting new patients

Locations

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

292 Benedict Ave
Norwalk, OH 44857
Phone (419) 663-3737

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

Organizations & group practices 4

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 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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1619331030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MATTHEW ST",
            "address_2": "EMERGENCY MEDICINE RESIDENCY PROGRAM",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501635",
            "telephone_number": "740-568-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703323",
            "telephone_number": "419-202-1705",
            "fax_number": "419-626-8316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Matthew St",
            "address_2": "Emergency Medicine Residency Program",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501635",
            "country_code": "US",
            "telephone_number": "740-568-5669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIZZI",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.013931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.