Individual provider Active NPI

Jennalee Rauh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Celina, OH
National Provider Identifier
1043622095
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003771 Issued in OH
Practice address
220 S Main St
Celina, OH 45822-2229
Phone
(419) 586-7874
Fax
(419) 586-2776
NPI assigned
May 27, 2014
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Podiatrist 213ER0200X 36.003771 OH
Sports Medicine Podiatrist 213ES0000X 36.003771 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003771 OH Primary

Addresses

Primary practice location

220 S Main St
Celina, OH 45822-2229

Mailing address

1138 W High St
Lima, OH 45805-2725
Phone (419) 225-2726

Other practice location 1

1138 W High St
Lima, OH 45805-2725
Phone (419) 225-2726

Other identifiers 4

IdentifierTypeStateIssuer
2348856MedicaidOH
CB6624OtherOHRAILROAD MEDICARE
0226865MedicaidOH
Q00033069OtherOHRAILROAD MEDICARE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170718003490 OH Practitioner - Podiatry 8022388479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Central Ohio Podiatry IncGroup PAC ID 4486698776, 4 clinicians

Practice addresses (Care Compare)

1138 W High St
Lima, OH 45805-2725
Phone (419) 225-2726

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
42.07 of 100Reported as individual
Quality
84.15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue48
Removal of skin lesions1-10
Removal of nail tissue706
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Ohio Podiatry Inc. Radiology CurrentSince Jun 1, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

220 S Main St
Celina, OH 45822
Phone (419) 586-7874

1138 W High St
Lima, OH 45805
Phone (419) 225-2726

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/K-cN4tVgW_1xlTS_2tRMxdUMCQhBSDfG/

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 2

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1043622095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 W HIGH ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052725",
            "telephone_number": "419-225-2726",
            "fax_number": "419-228-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S MAIN ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458222229",
            "telephone_number": "419-586-7874",
            "fax_number": "419-586-2776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1138 W High St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458052725",
            "country_code": "US",
            "telephone_number": "419-225-2726",
            "fax_number": "419-228-9909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUH",
        "first_name": "JENNALEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "OH",
            "license": "36.003771",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "OH",
            "license": "36.003771",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2348856",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB6624",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0226865",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "Q00033069",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

Verify at the official NPI Registry.