Alisa Katradis, CPNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN272090-COA1 Issued in OH

Practice address

321 Niles Cortland Rd NE
Warren, OH 44484-1974

Phone

(330) 609-5588

Fax

(330) 609-5740

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleveland Surgical Associates, Inc.Group PAC ID 3577566371, 26 clinicians

Encore Clinical Services LLCGroup PAC ID 5991177313, 49 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cleveland Surgical Associates, Inc.

  • Nurse Practitioner
  • North Royalton, OH
  • NPI 1831140003
  Medicare reassignment Care Compare group NPD
• Encore Clinical Services LLC

  • Nurse Practitioner
  • North Royalton, OH
  • NPI 1184346140
  Medicare reassignment Care Compare group NPD
• Ohio Wound Care Associates LLC

  • Internal Medicine Physician
  • North Royalton, OH
  • NPI 1659965457

  Nurse Practitioner

  Medicare reassignment NPD
• Lake Effect Health

  • Nurse Practitioner
  • Cleveland, OH
  • NPI 1780156984
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1205960739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 NILES CORTLAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841974",
            "telephone_number": "330-609-5588",
            "fax_number": "330-609-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 NILES CORTLAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841974",
            "telephone_number": "330-609-5588",
            "fax_number": "330-609-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATRADIS",
        "first_name": "ALISA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN272090-COA1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana G Karnavas, DPM
• Kartar S. Khanuja M.D.Inc.
• Kacie Kasper
• Kathy J Adams
• Lauren Katona
• Richard S. Kattouf, O.D., D.O.S
• Nicholas Katz, M.D.
• Navpreet Kaur, MD
• Tamandeep Kaur, MD
• Joseph Edward Terence Kavanagh, M.D.

• Nurse Practitioner in Warren, OH
• Providers in Warren, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.