Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leomar M Bautista

Individual provider Diagnostic Radiology Physician · NPI 1477930337

Leomar M Bautista is a Diagnostic Radiology in Cleveland, Ohio. Qualified in 2015, 11 years ago. Practices with Wetumpka Urgent Care LLC, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015
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Practice location Address checks out

9500 Euclid Ave
Cleveland, OH 44195-9020
Phone: (216) 444-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 744 W 9th St, Tulsa, OK 74127-9020 — (918) 599-1000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 34.014502 (OH)

Record details

NPI number1477930337
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2015
Last updated in NPPESJuly 6, 2020
Certification dateJuly 6, 2020
Mailing address9500 Euclid Ave, Cleveland, OH 44195-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Wetumpka Urgent Care Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations17 on file with Medicare

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