Individual provider Active NPI

Ratul Raychaudhuri, MD

  • Neurological Surgery Physician
  • Toledo, OH
National Provider Identifier
1760684179
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35126894 Issued in OH
Practice address
2222 Cherry St
Suite M200
Toledo, OH 43608-2673
Phone
(419) 251-8019
Fax
(419) 251-5819
NPI assigned
Jun 5, 2007
Last updated
Aug 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35126894 OH Primary

Addresses

Primary practice location

2222 Cherry St
Suite M200
Toledo, OH 43608-2673

Mailing address

2200 Jefferson Ave
5TH FL
Toledo, OH 43604-7101

Other identifiers 1

IdentifierTypeStateIssuer
0143147MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210114001081 MI Practitioner - Neurosurgery 9335383769 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35126894OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Health Clinic PC CurrentSince Jan 1, 2021 Accepting new patients
Brain and Spine Associates PC Neurological Surgery CurrentSince Aug 1, 2021 Accepting new patients
Wabash Valley Urological Assoc Inc Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

3720 Katalin Ct
Bay City, MI 48706
Phone (989) 391-9223

3720 Katalin Ct
Ste 203
Bay City, MI 48706
Phone (989) 686-5900

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

521 Monroe St
Petoskey, MI 49770
Phone (231) 348-1514

Interoperability endpoints

  • Direct secure messaging: ratul.raychaudhuri@hca6.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1760684179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "address_2": "5TH FL",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST",
            "address_2": "SUITE M200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082673",
            "telephone_number": "419-251-8019",
            "fax_number": "419-251-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYCHAUDHURI",
        "first_name": "RATUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35126894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143147",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.