Individual provider Active NPI

Brian M. Lott, M.D.

  • Family Medicine Physician
  • Chillicothe, OH
National Provider Identifier
1801862826
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33892 Issued in KY
Practice address
100 N Walnut St
Chillicothe, OH 45601-2420
Phone
(740) 779-4500
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35062108 OH
Family Medicine Physician 207Q00000X 33892 KY Primary

Addresses

Primary practice location

100 N Walnut St
Chillicothe, OH 45601-2420

Mailing address

PO Box 57915
Salt Lake City, UT 84157-0915
Phone (800) 328-3054

Other identifiers 1

IdentifierTypeStateIssuer
64010341MedicaidKY

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
I20060222000714 OH Practitioner - Family Practice 8022098896 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 1990
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
33892KYMDFamily Medicine Physician
35062108OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lorain County Health & Dentistry Current Accepting new patients
Southeast, Inc CurrentSince Jul 1, 2014 Accepting new patients
Lorain County Health & Dentistry CurrentSince Oct 1, 2012 Accepting new patients
Southeast, Inc CurrentSince Jul 1, 2014 Accepting new patients
The Cleveland Clinic Foundation CurrentSince May 13, 2020 Accepting new patients
Lorain County Health & Dentistry CurrentSince Oct 1, 2012 Accepting new patients
Pekin Prohealth Inc Family Medicine Past Accepting new patients

Locations

17747 Chillicothe Rd
Chagrin Falls, OH 44023
Phone (216) 543-8855

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

16 W Long St
Columbus, OH 43215

3745 Grove Ave
Lorain, OH 44055
Phone (440) 240-1901

1205 Broadway
Lorain, OH 44052

Interoperability endpoints

  • Direct secure messaging: brian.lott.p11@direct.loraincountyhealth.nextgenshare.com

Organizations & group practices 7

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 3

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1801862826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57915",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841570915",
            "telephone_number": "800-328-3054",
            "fax_number": "801-284-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WALNUT ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012420",
            "telephone_number": "740-779-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTT",
        "first_name": "BRIAN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35062108",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "33892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64010341",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.