Active NPI
Jonathan Sussman
- Urology Physician
- Blue Ash, OH
National Provider Identifier
1750919387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 35.155942
- Practice address
- 10220 Alliance Rd
Blue Ash, OH 45242-4710 - Phone
- (513) 841-7800
- NPI assigned
- Mar 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35.155942 | OH | Primary |
Addresses
Primary practice location
10220 Alliance Rd
Blue Ash, OH 45242-4710
Mailing address
10220 Alliance Rd
Blue Ash, OH 45242-4710
Phone (513) 841-7800
Other practice location 1
3301 Mercy Health Blvd Ste 525
Cincinnati, OH 45211-1118
Phone (513) 841-7700
Other practice location 2
2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260520002079 | OH | Practitioner - Urology | 7618377227 |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Cincinnati College of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
601 County Rd
Suite 904
Joshua, TX 76058
601 County Rd
Suite 904
Joshua, TX 76058-5157
PO Box
Dallas, TX 75373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.155942 | OH | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1750919387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10220 ALLIANCE RD",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452424710",
"telephone_number": "513-841-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10220 ALLIANCE RD",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452424710",
"telephone_number": "513-841-7800"
}
],
"practiceLocations": [
{
"address_1": "3301 Mercy Health Blvd Ste 525",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452111118",
"country_code": "US",
"telephone_number": "513-841-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Joseph E Sanker Blvd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452121979",
"country_code": "US",
"telephone_number": "513-841-7400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUSSMAN",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-30",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35.155942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.