Active NPI
Katrina Cisaruk Rakowsky, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Warrensville Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 34007101
- Practice address
- 4100 Warrensville Center Road
Suite 102
Warrensville Heights, OH 44122-7099 - Phone
- (216) 491-7362
- Fax
- (216) 491-6587
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 34007101 | OH | Primary |
Addresses
Primary practice location
4100 Warrensville Center Road
Suite 102
Warrensville Heights, OH 44122-7099
Mailing address
4100 Warrensville Center Road
Suite 102
Warrensville Heights, OH 44122-7099
Phone (216) 491-7362
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000147311 | Other | OH | ANTHEM BCBS |
| 2195075 | Medicaid | OH |
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 |
|---|---|---|---|---|
| I20071210000262 | OH | Practitioner - Osteopathic Manipulative Medicine | 2961591219 | Practice locations: Beachwood, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4100 Warrensville Ctr Rd
Suite 102
Beachwood, OH 44122-7024
Phone (216) 491-7362
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34007101 | OH | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridia Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Warrensville Heights, OH
- NPI 1316992944
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warrensville Heights, OH
- NPI 1235183542
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1851498281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 WARRENSVILLE CENTER ROAD",
"address_2": "SUITE 102",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "441227099",
"telephone_number": "216-491-7362",
"fax_number": "216-491-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 WARRENSVILLE CENTER ROAD",
"address_2": "SUITE 102",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "441227099",
"telephone_number": "216-491-7362",
"fax_number": "216-491-6587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAKOWSKY",
"first_name": "KATRINA",
"middle_name": "CISARUK",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "OH",
"license": "34007101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000147311",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2195075",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrensville Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.