OHIO WOUND CARE ASSOCIATES LLC – Internal Medicine Physician, NPI 1659965457
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for OHIO WOUND CARE ASSOCIATES LLC
12301 RIDGE RD
NORTH ROYALTON, OH 441333744
Phone: (440) 652-8748
Fax: (440) 582-3171
Type: Location
5741 SHIELDS RD STE B
CANFIELD, OH 444069814
Phone: (440) 652-8748
Fax: (440) 582-3171
Type: Mailing
5741 Shields Rd Ste B
Canfield, OH 444069814
Phone: (330) 559-5115
Type: Location
9928 Vail Dr
Twinsburg, OH 440872972
Phone: (330) 559-5115
Type: Location
9184 Market St
North Lima, OH 444529558
Phone: (330) 559-5115
Type: Location
648 Longhorn St NW
Carrollton, OH 446159469
Phone: (330) 559-5115
Type: Location
48444 Bell School Rd
Calcutta, OH 439209646
Phone: (330) 559-5115
Type: Location
871 Elmwood Dr
Hubbard, OH 444259701
Phone: (330) 559-5115
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: 2021-03-11
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
1
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 |
|---|---|---|---|---|
| O20210311002489 | O | Clinic/Group Practice | OH | 2026-03-31 |
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.
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 44133)
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