FAMILY MEDICAL PRACTICE INC
NPI 1013993310
Family Medicine in Middletown, OH
About Family Medical Practice Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICAL PRACTICE INC (NPI 1013993310), doing business as Family Medical Practice, is a healthcare organization registered as a family medicine in Middletown, Ohio and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Omer C Hurlburt, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Medical Practice Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Family Medical Practice Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: 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 36D0345201
Family Medical Practice Inc · Middletown, 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 Family Medical Practice Inc's NPI number?
The NPI number for Family Medical Practice Inc is 1013993310. It was assigned to this organization in the NPPES registry on December 19, 2005. The provider was formerly known as Family Medical Practice.
Where is Family Medical Practice Inc located?
Family Medical Practice Inc is located at 3913 Roosevelt Blvd, Middletown, OH 45044. The listed phone number is (513) 423-0141.
What is Family Medical Practice Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Family Medical Practice Inc enrolled in Medicare?
Yes. Family Medical Practice Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Medical Practice Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Family Medical Practice Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Medical Practice Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D0345201) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Family Medical Practice Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Family Medical Practice Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Family Medical Practice Inc was last updated on July 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Family Medical Practice Inc · NPI 1013993310
Family Medicine organization in Middletown, Ohio. Organization record, active in the CMS NPPES registry since December 19, 2005.
## Identity
- **NPI:** 1013993310 (Entity type: Organization)
- **Enumerated:** December 19, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Omer Hurlburt, OWNER
## Practice location
- **Address:** 3913 ROOSEVELT BLVD, Middletown, OH 45044-6674
- **Phone:** (513) 423-0141 · **Fax:** (513) 423-2677
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2015
- **Other identifiers:** Medicare PIN 9267191 (OH); Medicaid 2378305 (OH); Medicare PIN CH4717 (OH)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013993310) · Data from the CMS NPPES public registry.