Individual provider Active NPI

Susan Rathgeb, AUD

  • Audiologist
  • Saint Louis, MO
National Provider Identifier
1124153705
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2001023251 Issued in MO
Practice address
450 N New Ballas Rd
Dept Otolaryngology, Ste 140
Saint Louis, MO 63141-6859
Phone
(314) 362-7509
Fax
(314) 453-0489
NPI assigned
Feb 22, 2007
Sex
Female
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
Audiologist 231H00000X 2001023251 MO Primary

Addresses

Primary practice location

450 N New Ballas Rd
Dept Otolaryngology, Ste 140
Saint Louis, MO 63141-6859

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-7509

Other identifiers 1

IdentifierTypeStateIssuer
330045421MedicaidMO

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080911000522 MO Practitioner - Qualified Audiologist 2062588205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

11125 Dunn Rd
Suite 201
Saint Louis, MO 63136-6132
Phone (314) 362-7509

660 S Euclid Ave
Saint Louis, MO 63110-1010

660 S Euclid Ave Box
8115 Dept of Otolaryngology
Saint Louis, MO 63110-1010
Phone (314) 362-7509

660 S Euclid Ave Campus Box
Saint Louis, MO 63110-1010

660 S Euclid Campus Box
8115 Dept of Otolaryngology
St Louis, MO 63110-1010

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001023251MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Sep 1, 2017 Accepting new patients
Washington University CurrentSince Sep 1, 2017 Accepting new patients
Washington University Past Accepting new patients

Locations

226 S Woods Mill Rd
Ste 58W
Chesterfield, MO 63017
Phone (314) 453-0001

4560 Clayton Ave
Saint Louis, MO 63110
Phone (314) 977-0100

660 S Euclid Ave
#8115
Saint Louis, MO 63110
Phone (314) 362-7395

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

450 N New Ballas Rd
Ste 140
Saint Louis, MO 63141

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1124153705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-362-7509",
            "fax_number": "314-453-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD",
            "address_2": "DEPT OTOLARYNGOLOGY, STE 140",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416859",
            "telephone_number": "314-362-7509",
            "fax_number": "314-453-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHGEB",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2001023251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330045421",
            "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": "450 N New Ballas Rd",
            "address_2": "Dept Otolaryngology, Ste 140",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.