Individual provider Active NPI

Muhamad Rasyeed Ramadan Jusran, FNP-C

  • Family Nurse Practitioner
  • Ravenna, OH
National Provider Identifier
1932849304
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0031105 Issued in OH
Practice address
6847 N Chestnut St Ste 200
Ravenna, OH 44266-3929
Phone
(234) 544-5935
NPI assigned
Mar 31, 2022
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0031105 OH Primary

Addresses

Primary practice location

6847 N Chestnut St Ste 200
Ravenna, OH 44266-3929

Mailing address

3211 Sunny Brook Dr
Akron, OH 44312-4079
Phone (909) 560-3118

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714002015 OH Practitioner - Nurse Practitioner 1759762230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Urgent Care, LLCGroup PAC ID 3971985607, 109 clinicians

Practice addresses (Care Compare)

1005 E Main St
Suite 3
Kent, OH 44240-2815
Phone (330) 440-0360

158 W Main Rd
Conneaut, OH 44030-2039

2700 E Aurora Rd
Suite F
Twinsburg, OH 44087-6818
Phone (330) 476-5510

3909 Orange PL
Suite 2100
Beachwood, OH 44122-8400
Phone (440) 809-8810

5901 E Royalton Rd
Suite 1400B
Broadview Heights, OH 44147-3532
Phone (440) 499-5900

6140 Som Ctr Rd
Solon, OH 44139-2333
Phone (440) 578-0845

9449 State Route 14
Streetsboro, OH 44241-5225
Phone (330) 227-6640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0031105OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Aug 1, 2023 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Aug 1, 2023 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince May 22, 2022 Accepting new patients
University Primary Care Practices Inc CurrentSince May 22, 2022 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

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

Interoperability endpoints

  • Direct secure messaging: mjusran27982@ehrdirect.uhhospitals.org

Organizations & group practices 7

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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1932849304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 SUNNY BROOK DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443124079",
            "telephone_number": "909-560-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 N CHESTNUT ST STE 200",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663929",
            "telephone_number": "234-544-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSRAN",
        "first_name": "MUHAMAD",
        "middle_name": "RASYEED RAMADAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0031105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

Verify at the official NPI Registry.