INTERIM HEALTHCARE PALLIATIVE CARE OF THE MIDWEST, INC – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1851911440
Hospice and Palliative Medicine (Family Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for INTERIM HEALTHCARE PALLIATIVE CARE OF THE MIDWEST, INC
300 W WILSON BRIDGE RD STE 250
WORTHINGTON, OH 430852289
Phone: (614) 436-9404
Type: Mailing
7009 Taylorsville Rd Ste C
Huber Heights, OH 454243176
Phone: (800) 615-5224
Type: Location
499 S 2nd St
Coshocton, OH 438121906
Phone: (800) 615-6224
Type: Location
3745 Shawnee Rd Ste 108
Lima, OH 458061665
Phone: (800) 615-5224
Type: Location
300 W Wilson Bridge Rd Ste 250
Worthington, OH 430852289
Phone: (614) 436-9404
Type: Location
900 Sharon Valley Rd
Newark, OH 430552804
Phone: (800) 615-5224
Type: Location
788 MORRISON RD
GAHANNA, OH 432306642
Phone: (800) 615-5224
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: 2020-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-12-31 (158 days ago).
Enrollment records
1
Earliest due date
2025-12-31
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 |
|---|---|---|---|---|
| O20201201000816 | O | Clinic/Group Practice | OH | 2025-12-31 |
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 43085)
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