PHS EMERGENCY BILLING LLC – Emergency Medicine Physician, NPI 1578387486
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PHS EMERGENCY BILLING LLC
2400 Miami Valley Dr
Centerville, OH 454594774
Phone: (937) 438-2400
Type: Location
9000 N Main St
Englewood, OH 454151180
Phone: (937) 734-6784
Type: Location
4940 Cottonville Rd
Jamestown, OH 453351522
Phone: (937) 499-7364
Type: Location
300 Austin West Blvd
Miamisburg, OH 453427519
Phone: (937) 388-7965
Type: Location
2400 Lakeview Dr
Beavercreek, OH 454312581
Phone: (937) 797-6400
Type: Location
3130 N County Road 25A
Troy, OH 453731337
Phone: (937) 440-4000
Type: Location
1 Medical Center Dr
Middletown, OH 450052584
Phone: (513) 424-2111
Type: Location
3170 KETTERING BLVD.
BLDG B, 2ND FLOOR
MORAINE, OH 454391924
Phone: (937) 991-3188
Fax: (937) 223-9811
Type: Mailing
1 WYOMING ST
DAYTON, OH 454092722
Phone: (937) 208-3356
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: 2025-01-17
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 |
|---|---|---|---|---|
| O20250117002759 | 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 45459)
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