Individual provider Active NPI

Monika L Radloff, MD

  • Sports Medicine (Family Medicine) Physician
  • Flagstaff, AZ
National Provider Identifier
1700858156
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
32288 Issued in AZ
Practice address
1485 N Turquoise Dr
Ste 200
Flagstaff, AZ 86001-1398
Phone
(928) 774-7757
Fax
(928) 226-3071
NPI assigned
Feb 1, 2006
Last updated
Sep 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 32288 AZ
Sports Medicine (Family Medicine) Physician 207QS0010X 32288 AZ Primary

Addresses

Primary practice location

1485 N Turquoise Dr
Ste 200
Flagstaff, AZ 86001-1398

Mailing address

1485 N Turquoise Drive
Flagstaff, AZ 86001
Phone (928) 774-7757

Other identifiers 1

IdentifierTypeStateIssuer
837073MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180126001100 NY Practitioner - Sports Medicine 0941196265 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
University of New Mexico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians
Cayuga Medical Center at IthacaGroup PAC ID 7214847367, 34 clinicians

Practice addresses (Care Compare)

101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296

1122 Commons Ave
Cortland, NY 13045-1643
Phone (607) 428-8004

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32288AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ithaca Medical Services PLLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Cayuga Medical Center at Ithaca CurrentSince Jan 1, 2018 Accepting new patients
Cayuga Pathology PLLC Current Accepting new patients
Cayuga Medical Associates, PC CurrentSince Feb 1, 2018 Accepting new patients
Cayuga Medical Center at Ithaca CurrentSince Jan 1, 2018 Accepting new patients
Andrew R. Getzin, M.D., P.C. Sports Medicine Past Accepting new patients

Locations

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

310 Taughannock Blvd
Ste 5A
Ithaca, NY 14850
Phone (607) 252-3500

Interoperability endpoints

  • Direct secure messaging: mradloff27170@direct.xtensys.com

Organizations & group practices 6

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 3

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1700858156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 N TURQUOISE DRIVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-774-7757",
            "fax_number": "928-226-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 N TURQUOISE DR",
            "address_2": "STE 200",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011398",
            "telephone_number": "928-774-7757",
            "fax_number": "928-226-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADLOFF",
        "first_name": "MONIKA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "32288",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "32288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "837073",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.