Individual provider Active NPI

Jeffrey R Polito, M.D.

  • Internal Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1679525034
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A069265 Issued in CA
Practice address
5333 Hollister Ave Ste 225
Santa Barbara, CA 93111-3321
Phone
(805) 681-1490
Fax
(805) 681-1593
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X A69265 CA
Internal Medicine Physician 207R00000X A069265 CA Primary

Addresses

Primary practice location

5333 Hollister Ave Ste 225
Santa Barbara, CA 93111-3321

Mailing address

5333 Hollister Ave Ste 225
Santa Barbara, CA 93111-3321
Phone (805) 681-1490

Other practice location 1

334 S Patterson Ave
Suite 209
Santa Barbara, CA 93111-2400
Phone (805) 681-1490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070329000424 CA Practitioner - Internal MedicinePractitioner - Sleep Medicine 6103920202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
Creighton University School of Medicine, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5333 Hollister Ave
Suite 225
Santa Barbara, CA 93111-2363

5333 Hollister Ave
Suite 225
Santa Barbara, CA 93111-3321
Phone (805) 681-1490

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A069265CAMDInternal Medicine Physician
A69265CAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey R. Polito M.D. a Professional Corporation Internal Medicine CurrentSince Apr 1, 2003 Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Lander Valley Physician Practices, LLC Internal Medicine Past Accepting new patients
Goleta Valley Cottage Hospital Past Accepting new patients

Locations

334 S Patterson Ave
Ste 209
Santa Barbara, CA 93111
Phone (805) 563-6560

5333 Hollister Ave
Ste 225
Santa Barbara, CA 93111
Phone (805) 681-1490

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jeffreypolito@jrpmd.gwaydirect.com

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 5

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679525034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE STE 225",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931113321",
            "telephone_number": "805-681-1490",
            "fax_number": "805-681-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE STE 225",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931113321",
            "telephone_number": "805-681-1490",
            "fax_number": "805-681-1593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 S Patterson Ave",
            "address_2": "Suite 209",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931112400",
            "country_code": "US",
            "telephone_number": "805-681-1490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLITO",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A69265",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A069265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.