CITYBLOCK MEDICAL PRACTICE, LLC
NPI 1013673821
Clinic/Center - Primary Care in Columbus, OH
About Cityblock Medical Practice, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CITYBLOCK MEDICAL PRACTICE, LLC (NPI 1013673821) is a healthcare organization registered as a primary care in Columbus, Ohio and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through January 6, 2028 and lists Susan Brown, Chief Administrative Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cityblock Medical Practice, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
62Medicare enrollment records show 62 clinicians reassign Medicare billing to Cityblock Medical Practice, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 62Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 36D2247689
Cityblock Medical Practice, LLC · Columbus, OHFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cityblock Medical Practice, LLC's NPI number?
The NPI number for Cityblock Medical Practice, LLC is 1013673821. It was assigned to this organization in the NPPES registry on November 16, 2021.
Where is Cityblock Medical Practice, LLC located?
Cityblock Medical Practice, LLC is located at 6100 E Main St Ste 110, Columbus, OH 43213. The listed phone number is (833) 904-0620.
What is Cityblock Medical Practice, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Cityblock Medical Practice, LLC enrolled in Medicare?
Yes. Cityblock Medical Practice, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cityblock Medical Practice, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 8 Medicare specialties reassign their Medicare billing to Cityblock Medical Practice, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (24), Emergency Medicine (12) and Clinical Social Worker (7). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cityblock Medical Practice, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2247689) is associated with this NPI, valid through January 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Cityblock Medical Practice, LLC was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cityblock Medical Practice, Llc · NPI 1013673821
Primary Care organization in Columbus, Ohio. Organization record, active in the CMS NPPES registry since November 16, 2021.
## Identity
- **NPI:** 1013673821 (Entity type: Organization)
- **Enumerated:** November 16, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Susan Brown, CHIEF ADMINISTRATIVE OFFICER
## Practice location
- **Address:** 6100 E MAIN ST STE 110, Columbus, OH 43213-3399
- **Phone:** (833) 904-0620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 62 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (24), Emergency Medicine (12), Clinical Social Worker (7); 1 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1013673821/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 19, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1013673821) · Data from the CMS NPPES public registry.