NPIMap

Individual provider Active NPI

James D Ratzlaff, M.D.

  • Family Medicine Physician
  • Moundridge, KS
National Provider Identifier
1235134156
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0425976 Issued in KS
Practice address
200 East Pack
Moundridge, KS 67107-0640
Phone
(620) 345-6322
Fax
(620) 345-3038
NPI assigned
Jun 16, 2005
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0425976 KS Primary

Addresses

Primary practice location

200 East Pack
Moundridge, KS 67107-0640

Mailing address

200 East Pack
Moundridge, KS 67107-0640
Phone (620) 345-6322

Other identifiers 4

IdentifierTypeStateIssuer
3284OtherKSPREFERRED HEALTH SYSTEMS
460685MedicaidKS
04228OtherKSPREFERRED HEALTH SYSTEMS
051650OtherKSBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707000245 KS Practitioner - Family Practice 7911943352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Family Care LLCGroup PAC ID 2961493242, 9 clinicians
Mercy Hospital IncGroup PAC ID 9436163474, 11 clinicians

Practice addresses (Care Compare)

200 E Pack St
Moundridge, KS 67107-8854
Phone (620) 345-6322

218 E Pack St
Moundridge, KS 67107-8815
Phone (620) 345-6391

PO Box
Suite 640
Moundridge, KS 67107-0640

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Melanoma (skin cancer) excision1-10
Removal of skin lesions60
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0425976KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Inc CurrentSince May 1, 2022 Accepting new patients
Partners in Family Care LLC Family Medicine CurrentSince Aug 1, 1997 Accepting new patients
Pleasant View Home Past Accepting new patients
Memorial Home, Inc. Past Accepting new patients
Moundridge Manor Inc. Past Accepting new patients

Organizations & group practices 5

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 11

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235134156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAST PACK",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671070640",
            "telephone_number": "620-345-6322",
            "fax_number": "620-345-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAST PACK",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671070640",
            "telephone_number": "620-345-6322",
            "fax_number": "620-345-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATZLAFF",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0425976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "3284",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460685",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "04228",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "051650",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moundridge, KS

Sources for this page

Verify at the official NPI Registry.