NPIMap

Individual provider Active NPI

Mona Nataprawira, D.O

  • Obstetrics & Gynecology Physician
  • Sandusky, OH
National Provider Identifier
1528378965
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34.010951 Issued in OH
Practice address
2500 W Strub Rd
Suite 210
Sandusky, OH 44870-5390
Phone
(419) 625-2841
Fax
(419) 625-1299
NPI assigned
Oct 19, 2010
Last updated
Aug 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 125-055864 IL
Obstetrics & Gynecology Physician 207V00000X 34.010951 OH Primary

Addresses

Primary practice location

2500 W Strub Rd
Suite 210
Sandusky, OH 44870-5390

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130903000812 OH Practitioner - Obstetrics/Gynecology 8820231251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2500 W Strub Rd
Suite 360
Sandusky, OH 44870-5488
Phone (419) 626-6161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-055864ILMDObstetrics & Gynecology Physician
34.010951OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC Obstetrics & Gynecology CurrentSince Sep 1, 2013 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Sep 1, 2013 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients
Fisher-Titus Medical Center Past Accepting new patients

Locations

2500 W Strub Rd
Ste 210
Sandusky, OH 44870
Phone (419) 625-2841

2500 W Strub Rd
Ste 360
Sandusky, OH 44870

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Organizations & group practices 4

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 8

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": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1528378965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W STRUB RD",
            "address_2": "SUITE 210",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705390",
            "telephone_number": "419-625-2841",
            "fax_number": "419-625-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATAPRAWIRA",
        "first_name": "MONA",
        "name_prefix": "Ms.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "125-055864",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.010951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.