CARDIO TERRA, LTD – Cardiovascular Disease Physician, NPI 1194155135

CARDIO TERRA, LTD is a healthcare provider. based in Celina, Ohio. specializing in Cardiovascular Disease Physician. The NPI Number for CARDIO TERRA, LTD is 1194155135

Main info

Organization
Name
CARDIO TERRA, LTD
NPI
1194155135
Phone
(567) 890-9000
Address
4112 MONROE RD
Authorized Official
DR. JERRY JOE BOLEY MEMBER M.D.
Enumeration Date
12 November 2013
Last Update Date
8 January 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:12State licenses:0Digital endpointsOther names

Provider Addresses for CARDIO TERRA, LTD

  • 4112 MONROE RD

    CELINA, OH 458229250

    Phone: (567) 890-9000

    Fax: (567) 890-9009

    Mailing address matches the actual address.

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: 2014-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-11-30 (190 days ago).

Enrollment records

1

Earliest due date

2025-11-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20140107001387OClinic/Group PracticeOH2025-11-30

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.

Verify on CMS Revalidation Lookup Tool

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 45822)

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Reviews

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Frequently asked questions

What identifier follows CARDIO TERRA, LTD across health systems?
The NPI 1194155135 uniquely identifies CARDIO TERRA, LTD in U.S. healthcare data.
Should I treat CARDIO TERRA, LTD as an active provider?
Patients and plans typically see CARDIO TERRA, LTD as active in the national extract.
How should patients interpret CARDIO TERRA, LTD's specialty?
The extract shows Cardiovascular Disease Physician for CARDIO TERRA, LTD. Clinical services aligned with this taxonomy classification.
What city is tied to CARDIO TERRA, LTD?
The directory associates CARDIO TERRA, LTD with Celina, Ohio. Check all listed addresses for suites or satellite offices.
Can I export CARDIO TERRA, LTD's record?
You can download the official NPPES record; we summarize key fields for readability.

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