St. Rita Professional Services LLC – Family Medicine Physician, NPI 1225292865
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for St. Rita Professional Services LLC
300, West Market Street, Lima, Allen County, Ohio, 45801, United States
LIMA, OH 458014714
Phone: (419) 996-5163
Fax: (419) 996-5165
Type: Location
750 W HIGH ST STE 250
LIMA, OH 458013959
Phone: (419) 227-7399
Fax: (419) 229-0123
Type: Location
Mercy Health, 1701, Mercy Health Place, Bond Hill, Cincinnati, Hamilton County, Ohio, 45237, United States
CINCINNATI, OH 452376147
Phone: (513) 981-5123
Fax: (513) 981-5015
Type: Mailing
4600 MCAULEY PL STE 600
BLUE ASH, OH 452424778
Phone: (513) 981-5123
Fax: (513) 981-5015
Type: Mailing
830 W HIGH ST STE 206
LIMA, OH 458013996
Phone: (419) 227-7399
Fax: (419) 229-0123
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: 2009-02-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| O20090206000102 | O | Clinic/Group Practice | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 45801)
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