Individual provider Active NPI

Ruth Ann Cooper, DPM

  • Podiatrist
  • Cincinnati, OH
National Provider Identifier
1386640860
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002540C Issued in OH
Practice address
4415B Aicholtz Rd
Ste 200
Cincinnati, OH 45245-5135
Phone
(513) 943-0400
Fax
(513) 943-6115
NPI assigned
Jun 21, 2005
Last updated
Mar 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002540C OH Primary

Addresses

Primary practice location

4415B Aicholtz Rd
Ste 200
Cincinnati, OH 45245-5135

Mailing address

4415-B Aicholtz Rd
Ste 200
Cincinnati, OH 45245-5139
Phone (513) 943-0400

Other identifiers 1

IdentifierTypeStateIssuer
0775791MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002540COHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Fallis Podiatrist PastSince May 12, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ruthanncooper@racdpm.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1386640860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415-B AICHOLTZ RD",
            "address_2": "STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452455139",
            "telephone_number": "513-943-0400",
            "fax_number": "513-943-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415B AICHOLTZ RD",
            "address_2": "STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452455135",
            "telephone_number": "513-943-0400",
            "fax_number": "513-943-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "RUTH ANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002540C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0775791",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.