POST ACUTE TELEHEALTH PC – Family Medicine Physician, NPI 1164011185
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for POST ACUTE TELEHEALTH PC
10123 ALLIANCE RD
BLUE ASH, OH 452424887
Phone: (513) 489-7100
Type: Mailing
4700 ASHWOOD DR STE 200
BLUE ASH, OH 452412424
Phone: (513) 489-7100
Type: Mailing
700 Chappell Rd
Charleston, WV 253042704
Phone: (317) 510-0758
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: 2025-12-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-03-31 (69 days ago).
Enrollment records
19
Earliest due date
2026-03-31
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 |
|---|---|---|---|---|
| O20210304002211 | O | Clinic/Group Practice | IN | 2026-03-31 |
| O20210317000773 | O | Clinic/Group Practice | OH | 2026-04-30 |
| O20210325001967 | O | Clinic/Group Practice | MD | 2026-05-31 |
| O20210422001002 | O | Clinic/Group Practice | WV | 2026-06-30 |
| O20210511000226 | O | Clinic/Group Practice | VA | 2026-07-31 |
| O20210609001892 | O | Clinic/Group Practice | TX | 2026-08-31 |
| O20210614002934 | O | Clinic/Group Practice | FL | 2026-10-31 |
| O20210809003188 | O | Clinic/Group Practice | AZ | TBD |
| O20210816003486 | O | Clinic/Group Practice | WA | TBD |
| O20210818000890 | O | Clinic/Group Practice | OR | TBD |
| O20211214002399 | O | Clinic/Group Practice | NC | TBD |
| O20220125000942 | O | Clinic/Group Practice | MI | TBD |
| O20221005003297 | O | Clinic/Group Practice | MA | TBD |
| O20230809001627 | O | Clinic/Group Practice | PA | TBD |
| O20230809002880 | O | Clinic/Group Practice | DC | TBD |
| O20251211001732 | O | Clinic/Group Practice | MI | TBD |
| O20251223004187 | O | Clinic/Group Practice | NJ | TBD |
| O20251223004299 | O | Clinic/Group Practice | MS | TBD |
| O20251230000114 | O | Clinic/Group Practice | KY | TBD |
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 45242)
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