Active NPI
Ronald E. Battiata, M.D.
- Family Medicine Physician
- Algonac, MI
National Provider Identifier
1902897689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301407634
- Practice address
- 555 Saint Clair River Dr
Algonac, MI 48001-1802 - Phone
- (810) 794-4982
- Fax
- (810) 794-4407
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301407634 | MI | Primary |
Addresses
Primary practice location
555 Saint Clair River Dr
Algonac, MI 48001-1802
Mailing address
555 Saint Clair River Dr
Algonac, MI 48001-1802
Phone (810) 794-4982
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1990398 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rbattiata21429@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Community Services, Inc. | Current | Accepting new patients |
Locations
555 Saint Clair River Dr
Algonac, MI 48001
Phone (810) 794-4917
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Algonac, MI
- NPI 1851399570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1902897689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 SAINT CLAIR RIVER DR",
"city": "ALGONAC",
"state": "MI",
"postal_code": "480011802",
"telephone_number": "810-794-4982",
"fax_number": "810-794-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SAINT CLAIR RIVER DR",
"city": "ALGONAC",
"state": "MI",
"postal_code": "480011802",
"telephone_number": "810-794-4982",
"fax_number": "810-794-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTIATA",
"first_name": "RONALD",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301407634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1990398",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rbattiata21429@direct.beaumont.edu",
"affiliation": "N",
"address_1": "555 Saint Clair River Dr",
"city": "Algonac",
"state": "MI",
"country_code": "US",
"postal_code": "480011802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Algonac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.