Individual provider Active NPI

Jitka Ludmila Zobal-Ratner, M.D.

  • Ophthalmology Physician
  • Latham, NY
National Provider Identifier
1720043383
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
186248 Issued in NY
Practice address
920 Albany Shaker Rd
Suite 101
Latham, NY 12110
Phone
(518) 533-6502
Fax
(518) 533-6505
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 186248 NY
Ophthalmology Physician 207W00000X 186248 NY Primary

Addresses

Primary practice location

920 Albany Shaker Rd
Suite 101
Latham, NY 12110

Mailing address

523 Covington PL
Slingerlands, NY 12159-9517
Phone (518) 533-6502

Other practice location 1

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-6560

Other identifiers 9

IdentifierTypeStateIssuer
1008194MedicaidVT
000405984004OtherNYBLUE SHIELD
114422OtherNYWELLCARE
346078OtherNYMVP
0499003OtherNYGHI
01410604MedicaidNY
10006174OtherNYCDPHP
346078OtherNYGHI HMO
409B51OtherNYBLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

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
I20051205000287 NY Practitioner - Ophthalmology 0749200822 Reassigns benefits to 2 organizations
Practice locations: Latham, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albany Medical College of Union University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

920 Albany Shaker Rd
Suite 101
Latham, NY 12110-1468
Phone (518) 533-6502

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186248NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Jun 8, 2006 Accepting new patients
Albany Medical College Ophthalmology CurrentSince Jun 1, 2019 Accepting new patients
Capital Region Pediatric Medical Eye Consultant, PLLC Ophthalmology CurrentSince Apr 6, 2023 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Ophthalmology CurrentSince Jun 8, 2006 Accepting new patients
Albany Medical College Current Accepting new patients

Locations

35 Hackett Blvd
Albany, NY 12208
Phone (518) 262-2540

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

920 Albany Shaker Rd
Ste 101
Latham, NY 12110
Phone (518) 480-6216

1220 New Scotland Rd
Ste 202
Slingerlands, NY 12159
Phone (518) 262-2502

Interoperability endpoints

  • Direct secure messaging: jzobalratner31062@albanymed.direct-ci.com

Organizations & group practices 7

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1720043383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 COVINGTON PL",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599517",
            "telephone_number": "518-533-6502",
            "fax_number": "518-533-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 ALBANY SHAKER RD",
            "address_2": "SUITE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "12110",
            "telephone_number": "518-533-6502",
            "fax_number": "518-533-6505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-6560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOBAL-RATNER",
        "first_name": "JITKA",
        "middle_name": "LUDMILA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "NY",
            "license": "186248",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "186248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008194",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000405984004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "114422",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "346078",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0499003",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01410604",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10006174",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "346078",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "409B51",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.