Sarosh P Batlivala, MD
Individual provider Active NPI Pediatric Cardiology Physician · Cincinnati, OH
NPI 1730278391 · NPPES record last updated Sep 13, 2018
Key facts
- NPI
- 1730278391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Cardiology Physician 2080P0202X
- License
- 35.132713 (OH)
- Practice address
- 3333 Burnet Ave.
ML 2003
Cincinnati, OH 45229-3026 - Phone
- (513) 636-4432
- Fax
- (513) 636-3952
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- University of Florida College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Children'S Hospital Medical Center
Practice addresses (Care Compare)
3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200
3333 Burnet Ave
Cincinnati, OH 45229-3039
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180110002516 | OH | Practitioner - Pediatric Medicine | 8123192945 | Reassigns benefits to 1 organization |
| I20190306001454 | KY | Practitioner - Cardiovascular Disease (Cardiology) | 8123192945 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2446 | MS | MD | Interventional Cardiology Physician |
| TRN9475 | FL | MD | Pediatrics Physician |
| 22689 | MS | MD | Pediatric Cardiology Physician |
| 35.132713 | OH | MD | Pediatric Cardiology Physician |
| MD446157 | PA | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current |
Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
3333 Burnet Ave
#2003
Cincinnati, OH 45229
Phone (513) 636-4432
3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
Interoperability endpoints
- sbatlivala223302@direct.uchealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 2446 | MS | |
| Pediatrics Physician | 208000000X | TRN9475 | FL | |
| Pediatric Cardiology Physician | 2080P0202X | 51288 | KY | |
| Pediatric Cardiology Physician | 2080P0202X | MD446157 | PA | |
| Pediatric Cardiology Physician | 2080P0202X | 22689 | MS | |
| Pediatric Cardiology Physician | 2080P0202X | 35.132713 | OH | Yes |
Addresses
Primary practice location
3333 Burnet Ave.
ML 2003
Cincinnati, OH 45229-3026
Mailing address
3333 Burnet Ave.
ML 2003
Cincinnati, OH 45229-3026
Phone (513) 636-4432
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00432556 | Medicaid | MS | |
| P01721900 | Other | MS | RAILROAD MEDICARE PTAN |
NPI Registry JSON
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1730278391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE.",
"address_2": "ML 2003",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4432",
"fax_number": "513-636-3952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE.",
"address_2": "ML 2003",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4432",
"fax_number": "513-636-3952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATLIVALA",
"first_name": "SAROSH",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MS",
"license": "2446",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "TRN9475",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "KY",
"license": "51288",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "PA",
"license": "MD446157",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MS",
"license": "22689",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "OH",
"license": "35.132713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00432556",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P01721900",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
- Victory Bates
- Tangineka Batey
- Donald Lee Batisky
- Kamaria Batiste
- Carla Marie Batlivala
- Gail Batross
- Hannah Batsche
- Judy Shanae Batson
- Barbara Battaglia
- Julien Battista
All providers in Cincinnati, OH · Pediatric Cardiology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.