EXTENDED CARE SPECIALISTS, INC – Adult Medicine Physician, NPI 1134146079
Adult Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EXTENDED CARE SPECIALISTS, INC
3958 Brown Park Dr Ste D
Hilliard, OH 430261160
Phone: (260) 483-9081
Type: Location
828 Lane Allen Rd Ste 219
Lexington, KY 405043659
Phone: (260) 483-9081
Type: Location
PNC Park Box Office, West General Robinson Street, North Shore, Pittsburgh, Allegheny County, Pennsylvania, 15212, United States
PITTSBURGH, PA 152519552
Phone: (260) 483-9081
Fax: (260) 483-9196
Type: Mailing
3512, Stellhorn Road, Fort Wayne, Allen County, Indiana, 46815, United States
FORT WAYNE, IN 46815
Phone: (260) 483-9081
Fax: (260) 483-9196
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-07-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (954 days ago).
Enrollment records
3
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050318000726 | O | Clinic/Group Practice | IN | 2023-10-31 |
| O20190522003072 | O | Clinic/Group Practice | OH | 2024-05-31 |
| O20190703001141 | O | Clinic/Group Practice | KY | 2024-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43026)
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