Individual provider Active NPI

Jodie L Strauss, DO

  • Internal Medicine Physician
  • South Euclid, OH
National Provider Identifier
1669447611
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.010979 Issued in OH
Practice address
1611 S Green Rd Ste 260
South Euclid, OH 44121-4192
Phone
(216) 381-6177
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OS010689L PA
Internal Medicine Physician 207R00000X 34.010979 OH Primary

Addresses

Primary practice location

1611 S Green Rd Ste 260
South Euclid, OH 44121-4192

Mailing address

PO Box 772040
Detroit, MI 48277-2040
Phone (800) 589-6006

Other identifiers 1

IdentifierTypeStateIssuer
001896645 0003MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jodiestrauss@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.010979OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Living Independence for the Elderly Pittsburgh Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jstrauss35858@ehrdirect.uhhospitals.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1669447611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772040",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772040",
            "telephone_number": "800-589-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD STE 260",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214192",
            "telephone_number": "216-381-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUSS",
        "first_name": "JODIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OS010689L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.010979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001896645 0003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jodiestrauss@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "University Suburban Health Center",
            "address_2": "1611 S. Green Road, Suite 260",
            "city": "South Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

Verify at the official NPI Registry.