WILMINGTON PHYSICIANS GROUP LLC – Family Medicine Physician, NPI 1932401411

WILMINGTON PHYSICIANS GROUP LLC is a healthcare provider. based in Wilmington, Ohio. specializing in Family Medicine Physician. The NPI Number for WILMINGTON PHYSICIANS GROUP LLC is 1932401411

Main info

Organization
Name
WILMINGTON PHYSICIANS GROUP LLC
NPI
1932401411
Phone
(937) 382-5438
Address
610 W MAIN ST
Authorized Official
KATHY J TEAGUE SECRETARY
Enumeration Date
3 December 2010
Last Update Date
21 January 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for WILMINGTON PHYSICIANS GROUP LLC

  • 610 W MAIN ST

    WILMINGTON, OH 451772125

    Phone: (937) 382-5438

    Fax: (937) 382-5260

    Mailing address matches the actual address.

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: 2025-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 11 Medicare enrollment records; no due dates published yet.

Enrollment records

11

Earliest due date

Not assigned (TBD)

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
O20110126000617OClinic/Group PracticeOHTBD
O20250603003735OClinic/Group PracticeLATBD
O20250604002550OClinic/Group PracticeSCTBD
O20250610002311OClinic/Group PracticeFLTBD
O20250616000741OClinic/Group PracticePATBD
O20250617002530OClinic/Group PracticeGATBD
O20250618000859OClinic/Group PracticeALTBD
O20250619001658OClinic/Group PracticeCATBD
O20250619001978OClinic/Group PracticeAZTBD
O20250625002386OClinic/Group PracticeNYTBD
O20250703001305OClinic/Group PracticeMITBD

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.

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 45177)

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Reviews

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Frequently asked questions

What is the registry number for WILMINGTON PHYSICIANS GROUP LLC?
The registry entry for WILMINGTON PHYSICIANS GROUP LLC shows NPI 1932401411.
Should I treat WILMINGTON PHYSICIANS GROUP LLC as an active provider?
Patients and plans typically see WILMINGTON PHYSICIANS GROUP LLC as active in the national extract.
What type of care does WILMINGTON PHYSICIANS GROUP LLC provide?
WILMINGTON PHYSICIANS GROUP LLC's profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is WILMINGTON PHYSICIANS GROUP LLC tied to Wilmington, Ohio?
If you are local to Wilmington, Ohio, WILMINGTON PHYSICIANS GROUP LLC may be relevant to your search.
Why is information missing for WILMINGTON PHYSICIANS GROUP LLC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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