Individual provider Active NPI

Ronald E. Battiata, M.D.

  • Family Medicine Physician
  • Algonac, MI
National Provider Identifier
1902897689
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301407634 Issued in MI
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

Updated by the provider on Oct 23, 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 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

IdentifierTypeStateIssuer
1990398MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.