Individual provider Active NPI

John Joseph Sanitato Jr., MD

  • Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1689694952
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35-075148 Issued in OH
Practice address
6900 Pearl Rd Ste 100
Cleveland, OH 44130-3640
Phone
(216) 844-2400
Fax
(216) 292-1001
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 35-075148 OH
Psychiatry Physician 2084P0800X 35-075148 OH Primary

Addresses

Primary practice location

6900 Pearl Rd Ste 100
Cleveland, OH 44130-3640

Mailing address

6900 Pearl Rd Ste 100
Cleveland, OH 44130-3640
Phone (216) 844-2400

Other practice location 1

29055 Clemens Rd Ste A
Westlake, OH 44145-1135
Phone (216) 450-1613

Other identifiers 4

IdentifierTypeStateIssuer
260050789OtherOHRAILROAD MEDICARE
000000532988OtherOHANTHEM
4007873OtherOHAETNA
2316505MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070926000240 OH Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 4385738053 Reassigns benefits to 1 organization
I20180108002475 SC Practitioner - Physician Assistant 4385738053

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Ohio State University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-075148OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Jun 22, 2022 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Portage Path Community Mental Health Center Past Accepting new patients
Lutheran Hospital Past Accepting new patients
Portage Path Behavioral Health Past Accepting new patients

Locations

1730 W 25th St
Ste 2A
Cleveland, OH 44113
Phone (216) 363-2319

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

11100 Euclid Ave
Cleveland Heights, OH 44106

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Interoperability endpoints

  • Direct secure messaging: jsanitato5205@direct.ccf.org

Organizations & group practices 5

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1689694952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 PEARL RD STE 100",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303640",
            "telephone_number": "216-844-2400",
            "fax_number": "216-292-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 PEARL RD STE 100",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303640",
            "telephone_number": "216-844-2400",
            "fax_number": "216-292-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29055 Clemens Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441451135",
            "country_code": "US",
            "telephone_number": "216-450-1613",
            "fax_number": "216-450-1614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANITATO",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OH",
            "license": "35-075148",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-075148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260050789",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000532988",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4007873",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2316505",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.