BUCKEYE CLINIC – Community/Behavioral Health Agency, NPI 1366029415

BUCKEYE CLINIC is a healthcare provider. based in Columbus, Ohio. specializing in Community/Behavioral Health Agency. The NPI Number for BUCKEYE CLINIC is 1366029415

Main info

Organization
Name
BUCKEYE CLINIC
NPI
1366029415
Phone
(614) 869-2002
Address
3121 W BROAD ST
Authorized Official
MANOJ SINHA MANAGER/ OWNER
Enumeration Date
25 March 2021
Last Update Date
9 February 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for BUCKEYE CLINIC

  • 3121 W BROAD ST

    COLUMBUS, OH 432041306

    Phone: (614) 869-2002

    Type: Location

  • 231 Lafayette St

    London, OH 431408567

    Phone: (614) 901-0844

    Type: Location

  • 6805 Avery Muirfield Dr Ste 103

    Dublin, OH 430167182

    Phone: (614) 534-1100

    Fax: (614) 792-6240

    Type: Location

  • 2735 Sawbury Blvd

    Columbus, OH 432353079

    Phone: (614) 534-1100

    Fax: (614) 792-6240

    Type: Location

  • 2735 SAWBURY BLVD

    COLUMBUS, OH 432353079

    Phone: (614) 534-1100

    Fax: (614) 792-6240

    Type: Location

  • 6805 AVERY MUIRFIELD DRIVE

    SUITE 103

    DUBLIN, OH 430167180

    Phone: (614) 534-1100

    Fax: (614) 792-6240

    Type: Mailing

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.

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-03-31 (805 days ago).

Enrollment records

1

Earliest due date

2024-03-31

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
O20190314001368OClinic/Group PracticeOH2024-03-31

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.

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 43204)

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Reviews

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Frequently asked questions

How do I look up BUCKEYE CLINIC by NPI?
Use NPI 1366029415 when you need to reference BUCKEYE CLINIC in forms, claims, or directories.
Is BUCKEYE CLINIC currently active in the NPI registry?
CMS-published data lists BUCKEYE CLINIC as an active registrant.
What does BUCKEYE CLINIC treat or focus on?
Patients typically see BUCKEYE CLINIC under the specialty Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
What location metadata exists for BUCKEYE CLINIC?
The page summarizes Columbus, Ohio for BUCKEYE CLINIC; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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