Organization Active NPI

Catherine Laruffa MD Inc

  • Family Medicine Physician
  • Blanchester, OH
National Provider Identifier
1396853438
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3561245 Issued in OH
Legal business name
CATHERINE LARUFFA MD INC
Doing business as
Catherine Laruffa MD Inc
Practice address
700 S Broadway St
Blanchester, OH 45107-1465
Phone
(937) 783-2600
Fax
(937) 783-3086
NPI assigned
Aug 28, 2006
Last updated
Oct 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Mrs. Catherine Laruffa, MDNPI 1972502789
Title
President Ceo
Phone
(937) 783-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3561245 OH Primary

Addresses

Primary practice location

700 S Broadway St
Blanchester, OH 45107-1465

Mailing address

700 S Broadway St
Blanchester, OH 45107-1465
Phone (937) 783-2600

Other identifiers 8

IdentifierTypeStateIssuer
000000022715OtherANTHEM
0120567OtherUNITED HEALTHCARE
0840693MedicaidOH
289506103006OtherMEDICAL MUTUAL
0028777OtherTRICARE
277932OtherOHAMERIGROUP OH MEDICAID
61245OtherHUMANA CHOICE CARE
4384406OtherAETNA

Other names 1

  • CATHERINE LARUFFA MD INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050917000087 OH Part B Supplier - Clinic/Group Practice 4183657356 Receives reassigned benefits from 2 practitioners
Practice locations: Blanchester, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0345429Catherine Laruffa MD Inc700 South Broadway, Blanchester, OH 45107Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

Locations

700 S Broadway St
Blanchester, OH 45107
Phone (937) 783-2600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4863/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1396853438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S BROADWAY ST",
            "city": "BLANCHESTER",
            "state": "OH",
            "postal_code": "451071465",
            "telephone_number": "937-783-2600",
            "fax_number": "937-783-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S BROADWAY ST",
            "city": "BLANCHESTER",
            "state": "OH",
            "postal_code": "451071465",
            "telephone_number": "937-783-2600",
            "fax_number": "937-783-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE LARUFFA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "LARUFFA",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "937-783-2600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "3561245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000022715",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0120567",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0840693",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "289506103006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "0028777",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP OH MEDICAID",
            "identifier": "277932",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA CHOICE CARE",
            "identifier": "61245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4384406",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CATHERINE LARUFFA MD INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blanchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.