Individual provider Active NPI

Shobha Ratnam, M.D.

  • Nephrology Physician
  • Toledo, OH
National Provider Identifier
1902891591
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35083691 Issued in OH
Practice address
1125 Hospital Dr
Toledo, OH 43614-8001
Phone
(419) 383-5288
Fax
(419) 383-2825
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35083691 OH Primary

Addresses

Primary practice location

1125 Hospital Dr
Toledo, OH 43614-8001

Mailing address

3355 Glendale Ave FL 3
Toledo, OH 43614-2426
Phone (419) 383-5288

Other identifiers 1

IdentifierTypeStateIssuer
2489409MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040722000539 OH Practitioner - Nephrology 1759361538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Medical College of Ohio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3333 Glendale Ave
Toledo, OH 43614-2426
Phone (419) 383-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
69.17
Promoting interoperability
99
Improvement activities
40
Cost
75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35083691OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical University of Ohio at Toledo Current Accepting new patients
University of Toledo Physicians LLC CurrentSince Jul 1, 2004 Accepting new patients

Locations

L4189
Columbus, OH 43260

4510 Dorr St
#840
Toledo, OH 43615
Phone (419) 383-3888

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3355 Glendale Ave
Fl 3
Toledo, OH 43614
Phone (419) 383-7100

3333 Glendale Ave
Toledo, OH 43614
Phone (419) 259-2000

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

1125 Hospital Dr
Toledo, OH 43614
Phone (419) 383-3761

3065 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3818

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

Interoperability endpoints

  • Direct secure messaging: sratnam21506@direct.utoledo.edu

Organizations & group practices 2

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 5

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1902891591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 GLENDALE AVE FL 3",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142426",
            "telephone_number": "419-383-5288",
            "fax_number": "419-383-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 HOSPITAL DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436148001",
            "telephone_number": "419-383-5288",
            "fax_number": "419-383-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATNAM",
        "first_name": "SHOBHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35083691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2489409",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.