EXPRESS CARE CLINIC LLC
NPI 1104247865
Clinic/Center - Primary Care in Longwood, FL
About Express Care Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXPRESS CARE CLINIC LLC (NPI 1104247865) is a healthcare organization registered as a primary care in Longwood, Florida and active in the NPI registry since December 2013. The organization lists Oleksandr V Onushko, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
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)
Express Care Clinic Llc 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 Express Care Clinic LLC, 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.
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 Express Care Clinic LLC's NPI number?
The NPI number for Express Care Clinic LLC is 1104247865. It was assigned to this organization in the NPPES registry on December 26, 2013.
Where is Express Care Clinic LLC located?
Express Care Clinic LLC is located at 2650 W State Road 434, Longwood, FL 32779. The listed phone number is (407) 475-3366.
What is Express Care Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Express Care Clinic LLC enrolled in Medicare?
Yes. Express Care Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Express Care Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Express Care Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Express Care Clinic LLC accept?
Health plans from AvMed, Florida Health Care Plans and UnitedHealthcare list Express Care Clinic 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 Express Care Clinic LLC was last updated on October 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Express Care Clinic Llc · NPI 1104247865
Primary Care organization in Longwood, Florida. Organization record, active in the CMS NPPES registry since December 26, 2013.
## Identity
- **NPI:** 1104247865 (Entity type: Organization)
- **Enumerated:** December 26, 2013
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Oleksandr Onushko, PRESIDENT
## Practice location
- **Address:** 2650 W STATE ROAD 434, Longwood, FL 32779-4815
- **Phone:** (407) 475-3366 · **Fax:** (407) 475-3367
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Emergency Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1104247865) · Data from the CMS NPPES public registry.