Individual provider Active NPI

Sean Kenneth Battisti, M.D.

  • Family Medicine Physician
  • Brookpark, OH
National Provider Identifier
1891115788
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.130213 Issued in OH
Practice address
14401 Snow Rd Ste 106
Brookpark, OH 44142-2583
Phone
(216) 898-2229
Fax
(216) 898-2217
NPI assigned
Apr 18, 2014
Last updated
Feb 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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 35.130213 OH Primary

Addresses

Primary practice location

14401 Snow Rd Ste 106
Brookpark, OH 44142-2583

Mailing address

14401 Snow Rd Ste 106
Brookpark, OH 44142-2583
Phone (216) 898-2229

Other practice location 1

24700 Lorain Rd Ste 207
North Olmsted, OH 44070-2068
Phone (440) 779-5505

Other identifiers 1

IdentifierTypeStateIssuer
0267583MedicaidOH

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
I20170824001688 OH Practitioner - Family Practice 4486951084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
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)

14401 Snow Rd
Suite 106
Brookpark, OH 44142-2583
Phone (216) 898-2229

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.130213OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation Single Specialty CurrentSince Jul 12, 2017 Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

14401 Snow Rd
Ste 106
Brookpark, OH 44142
Phone (216) 433-1122

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

24700 Lorain Rd
Ste 207
North Olmsted, OH 44070
Phone (440) 779-1340

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1891115788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14401 SNOW RD STE 106",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441422583",
            "telephone_number": "216-898-2229",
            "fax_number": "216-898-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14401 SNOW RD STE 106",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441422583",
            "telephone_number": "216-898-2229",
            "fax_number": "216-898-2217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24700 Lorain Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "North Olmsted",
            "state": "OH",
            "postal_code": "440702068",
            "country_code": "US",
            "telephone_number": "440-779-5505",
            "fax_number": "440-779-1342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATTISTI",
        "first_name": "SEAN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-18",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.130213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0267583",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookpark, OH

Sources for this page

Verify at the official NPI Registry.