Individual provider Active NPI

Timothy Patrick Ratz, MD

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1093384513
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2022048876 Issued in MO
Practice address
456 N New Ballas Rd
Ste 304
Saint Louis, MO 63141-6831
Phone
(314) 567-6868
Fax
(314) 567-0578
NPI assigned
Jun 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2022048876 MO Primary

Addresses

Primary practice location

456 N New Ballas Rd
Ste 304
Saint Louis, MO 63141-6831

Mailing address

PO Box 7412065
Chicago, IL 60674-2065
Phone (314) 567-6868

Other identifiers 1

IdentifierTypeStateIssuer
200097879MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240802001956 MO Practitioner - Pediatric Medicine 3971908286 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022048876MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Pediatrics CurrentSince Aug 1, 2024 Accepting new patients
Washington University CurrentSince Aug 1, 2024 Accepting new patients
Washington University Past Accepting new patients

Locations

456 N New Ballas Rd
Ste 304
Saint Louis, MO 63141
Phone (314) 567-0578

1 Childrens Pl
Ste 3S34
Saint Louis, MO 63110
Phone (314) 454-5437

4116 Von Talge Rd
Ste B
Saint Louis, MO 63128
Phone (314) 822-5175

Organizations & group practices 3

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": "1624060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1093384513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412065",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742065",
            "telephone_number": "314-567-6868",
            "fax_number": "314-567-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD",
            "address_2": "STE 304",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416831",
            "telephone_number": "314-567-6868",
            "fax_number": "314-567-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATZ",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-19",
        "last_updated": "2025-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2022048876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200097879",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "456 N New Ballas Rd",
            "address_2": "Ste 304",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.