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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MACHUCA MEDICAL LLC
NPI 1053861369
Family Medicine in Huber Heights, OH

Active since October 11, 2016CLIA 36D2123219 · Microscopy
8648 OLD TROY PIKE STE A, HUBER HEIGHTS, OH 45424(937) 795-1101(937) 795-1120 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, May 13, 2026, Dec 31, 2025 and 4 more (7 updates tracked since 2016).

About Machuca Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACHUCA MEDICAL LLC (NPI 1053861369), doing business as Machuca Medical, is a healthcare organization registered as a family medicine in Huber Heights, Ohio and active in the NPI registry since October 2016. The organization holds a CLIA Microscopy certificate valid through December 14, 2026 and lists Jennifer Lynn Machuca, Owner/ Solo Physician, as its authorized official.

NPPES Registry Identity

NPI1053861369
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMACHUCA MEDICAL LLC
Location Address8648 OLD TROY PIKE STE AHuber Heights, OH 45424-1057
Mailing Address8648 Old Troy Pike Ste AHuber Heights, OH 45424-1057 · (937) 795-1101 · Fax (937) 795-1120
Phone(937) 795-1101
Fax(937) 795-1120
Organization SubpartNo
Authorized OfficialJennifer Lynn MachucaOwner/ Solo Physician · (937) 795-1101
Enumeration DateOctober 11, 2016
Last NPPES UpdateJuly 6, 20267 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1053861369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 92123
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8648 OLD TROY PIKE STE A, Huber Heights, OH 45424
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Other Names 1

Doing Business AsMachuca Medical

Other Identifiers 9

Other1053861369Group Npi
MedicaidCS1721200145OH
OtherH59861OH · Other
Medicaid0193739OH
Other1669694246Individual Npi
OtherH598960Ptan
MedicaidCS1721200142OH
Medicaid2893301OH
OtherMA4253051Legacy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 36D2123219

Machuca Medical LLC · Huber Heights, OH
Active · expires Dec 14, 2026
CLIA Number36D2123219
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorJennifer L. Machuca
Laboratory Phone(937) 795-1101
Laboratory LocationMachuca Medical LLC8648 Old Troy Pike Ste A, Huber Heights, OH 45424
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently 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 Machuca Medical LLC's NPI number?

The NPI number for Machuca Medical LLC is 1053861369. It was assigned to this organization in the NPPES registry on October 11, 2016. The provider is doing business as Machuca Medical.

Where is Machuca Medical LLC located?

Machuca Medical LLC is located at 8648 Old Troy Pike Ste A, Huber Heights, OH 45424. The listed phone number is (937) 795-1101.

What is Machuca Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Machuca Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D2123219) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Machuca Medical LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Machuca Medical LLC 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 Machuca Medical LLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.