SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC – Cardiovascular Disease Physician, NPI 1689835415

SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC is a healthcare provider. based in Cincinnati, Ohio. specializing in Cardiovascular Disease Physician. The organization holds a License No. 35123397 (OH). The NPI Number for SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC is 1689835415

Main info

Organization
Name
SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC
NPI
1689835415
Phone
(419) 429-6499
Address
PO BOX 636320
Authorized Official
DAVID CYTLAK VP OF FINANCE
Enumeration Date
24 June 2008
Last Update Date
25 January 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness75
Years active:17State licenses:6Digital endpointsOther names

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Provider Addresses for SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452636320

    Phone: (419) 429-6499

    Fax: (419) 429-6494

    Type: Mailing

  • 1900 S MAIN ST

    FINDLAY, OH 458401214

    Phone: (419) 423-5370

    Fax: (419) 423-5292

    Type: Mailing

  • Blanchard Valley Hospital, 1900, South Main Street, Hawthorne Estates, Findlay, Hancock County, Ohio, 45840, United States

    FINDLAY, OH 458401214

    Phone: (419) 423-4500

    Fax: (419) 423-5358

    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: 2008-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-09-30 (250 days ago).

Enrollment records

1

Earliest due date

2025-09-30

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
O20080826000542OClinic/Group PracticeOH2025-09-30

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 45263)

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Reviews

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Frequently asked questions

What is the standard ID for SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC in the U.S.?
In the U.S., SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC is identified by NPI 1689835415.
Should I treat SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC as an active provider?
Patients and plans typically see SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC as active in the national extract.
What services align with SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC's listing?
SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC's public classification highlights Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What city is tied to SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC?
The directory associates SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC with Cincinnati, Ohio. Check all listed addresses for suites or satellite offices.
Can I export SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC's record?
You can download the official NPPES record; we summarize key fields for readability.

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