Emily Ann Petitti, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35.136237 Issued in OH

Practice address

2500 W Strub Rd Ste 350
Sandusky, OH 44870-5488

Phone

(419) 502-3376

Fax

(419) 502-3377

NPI assigned

Apr 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Emily Galan Former name

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

Specialty

Dermatology

Education

University of Cincinnati College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, 252 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.23 of 100Reported as group

Quality

59.13

Promoting interoperability

99

Improvement activities

40

Cost

75.81

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: epetitti20628@nomshealthcare.direct-ci.com

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.

• Northern Ohio Medical Specialists LLC

  • Internal Medicine Physician
  • Sandusky, OH
  • NPI 1225085855
  Medicare reassignment Care Compare group NPD
• Northern Ohio Medical Specialists, LLC

  dba NOMS Healthcare

  • Durable Medical Equipment & Medical Supplies
  • Lorain, OH
  • NPI 1952281511
  NPD
• Northern Ohio Medical Specialists, LLC

  dba NOMS Premium Imaging Center

  • Radiology Clinic/Center
  • Sheffield Village, OH
  • NPI 1508811332
  NPD (past)

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1629497987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-626-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W STRUB RD STE 350",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705488",
            "telephone_number": "419-502-3376",
            "fax_number": "419-502-3377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Metrohealth Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441091900",
            "country_code": "US",
            "telephone_number": "216-778-4486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETITTI",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.136237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "GALAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angel M Pennix
• Kari E Perin, PT
• Perkins Local School District
• Perkins Township (Perkins Township Fire Department)
• Betsy A Pertner, LSW
• Allison M Petznick, DO
• Matthew C Petznick, DO
• Megan A. Peugeot, ED.D.
• Sarah Pfahl
• Pharmacy Counter LLC

• Dermatology Physician in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.