NPIMap

Individual provider Active NPI

Susan Marie Ratay, D.O.

  • Family Medicine Physician
  • Ashtabula, OH
National Provider Identifier
1720333222
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-011399 Issued in OH
Practice address
2131 Lake Ave
Suite 4
Ashtabula, OH 44004-3466
Phone
(440) 964-3733
Fax
(440) 964-7069
NPI assigned
Jul 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-011399 OH Primary

Addresses

Primary practice location

2131 Lake Ave
Suite 4
Ashtabula, OH 44004-3466

Mailing address

2131 Lake Ave
Suite 4
Ashtabula, OH 44004-3466
Phone (440) 964-3733

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address susanborisukratay@uhps.allscriptsdirect.net

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
I20151204000201 OH Practitioner - Family Practice 8325348931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

158 W Main Rd
Conneaut, OH 44030-2039

7500 Auburn Rd
Concord Township, OH 44077-9612

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-011399OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Family Medicine CurrentSince Oct 17, 2015 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Oct 17, 2015 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

2131 Lake Ave
Ste 4
Ashtabula, OH 44004
Phone (440) 964-3733

7500 Auburn Rd
Ste 2300
Concord Township, OH 44077
Phone (440) 354-9900

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

Interoperability endpoints

  • Direct secure messaging: sratay37270@ehrdirect.uhhospitals.org

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1720333222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 LAKE AVE",
            "address_2": "SUITE 4",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043466",
            "telephone_number": "440-964-3733",
            "fax_number": "440-964-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 LAKE AVE",
            "address_2": "SUITE 4",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043466",
            "telephone_number": "440-964-3733",
            "fax_number": "440-964-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATAY",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-011399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susanborisukratay@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2131 Lake Ave",
            "address_2": "Suite 4",
            "city": "Ashtabula",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440043466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

Verify at the official NPI Registry.