Individual provider Active NPI

Brant Holtzmeier, D.O

  • Family Medicine Physician
  • Westlake, OH
National Provider Identifier
1760460356
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34007048 Issued in OH
Practice address
25651 Detroit Rd Ste 304
Westlake, OH 44145-2415
Phone
(440) 808-8620
Fax
(440) 899-4372
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34007048 OH Primary

Addresses

Primary practice location

25651 Detroit Rd Ste 304
Westlake, OH 44145-2415

Mailing address

PO Box 74696
Cleveland, OH 44194-0779
Phone (440) 808-8620

Other identifiers 1

IdentifierTypeStateIssuer
2172492MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brantholtzmeier@uhps.allscriptsdirect.net

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
I20090303000602 OH Practitioner - Family Practice 8820154644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

25651 Detroit Rd
Suite 304
Westlake, OH 44145-2415
Phone (216) 383-0100

Hospital & facility affiliations

  • University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34007048OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Nov 1, 2008 Accepting new patients
University Primary Care Practices Past Accepting new patients
University Hospitals Regional Practices LLC Family Medicine Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

25651 Detroit Rd
Ste 304
Westlake, OH 44145
Phone (440) 808-8620

Interoperability endpoints

  • Direct secure messaging: bholtzmeier21069@ehrdirect.uhhospitals.org

Organizations & group practices 6

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 8

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1760460356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74696",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441940779",
            "telephone_number": "440-808-8620",
            "fax_number": "440-899-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25651 DETROIT RD STE 304",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452415",
            "telephone_number": "440-808-8620",
            "fax_number": "440-899-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZMEIER",
        "first_name": "BRANT",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2172492",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brantholtzmeier@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "25651 Detroit Rd Ste 304",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441452415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.