Individual provider Active NPI

Suzanne Staraitis, D.O.

  • Family Medicine Physician
  • Cleveland, OH
National Provider Identifier
1346537735
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.011893 Issued in OH
Practice address
7225 Old Oak Blvd
Suite A210
Cleveland, OH 44130-3339
Phone
(440) 816-2761
Fax
(440) 816-8065
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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 34.011893 OH Primary

Addresses

Primary practice location

7225 Old Oak Blvd
Suite A210
Cleveland, OH 44130-3339

Mailing address

7225 Old Oak Blvd
Suite A210
Cleveland, OH 44130-3339
Phone (440) 816-2761

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suzannestaraitisdo@southwestfamilyphysicians.medentdirect.com

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150922002438 OH Practitioner - Family Practice 2365759438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7225 Old Oak Blvd
Suite A210
Cleveland, OH 44130-3339
Phone (440) 816-2761

Hospital & facility affiliations

  • Southwest General Home Health Home health agency, Middleburg Heights, OH, CCN 367253
  • Southwest General Hospice Hospice, Strongsville, OH, CCN 361530
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.011893OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group Inc CurrentSince Apr 1, 2016 Accepting new patients
Southwest General Medical Group Inc. Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
Southwest General Medical Group Inc Family Medicine Current Accepting new patients

Locations

7225 Old Oak Blvd
Ste A120
Cleveland, OH 44130

7225 Old Oak Blvd
Ste A210
Middleburg Heights, OH 44130
Phone (440) 816-2761

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.

Hospital & facility affiliations 7

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1346537735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD",
            "address_2": "SUITE A210",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303339",
            "telephone_number": "440-816-2761",
            "fax_number": "440-816-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD",
            "address_2": "SUITE A210",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303339",
            "telephone_number": "440-816-2761",
            "fax_number": "440-816-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARAITIS",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.011893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzannestaraitisdo@southwestfamilyphysicians.medentdirect.com",
            "affiliation": "N",
            "address_1": "7225 Old Oak Blvd",
            "address_2": "Suite A210",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441303339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.