SUMMA HEALTH OUTPATIENT SERVICES LLC
NPI 1104406800
Clinic/Center - Infusion Therapy in Stow, OH

Active since April 08, 2021
3825 FISHCREEK RD STE 110, STOW, OH 44224(234) 867-6964 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2021, Apr 8, 2021 (2 updates tracked since 2021).

About Summa Health Outpatient Services Llc NPPES

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

SUMMA HEALTH OUTPATIENT SERVICES LLC (NPI 1104406800) is a healthcare organization registered as an infusion therapy in Stow, Ohio and active in the NPI registry since April 2021. The organization lists Michelle Ingmire, Vice President, as its authorized official.

NPPES Registry Identity

NPI1104406800
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameSUMMA HEALTH OUTPATIENT SERVICES LLC
Location Address3825 FISHCREEK RD STE 110Stow, OH 44224-4316
Mailing Address525 E Market StAkron, OH 44304-1619 · (234) 312-5656
Organization SubpartNo
Authorized OfficialMichelle IngmireVice President · (234) 312-5656
Enumeration DateApril 8, 2021
Last NPPES UpdateOctober 11, 20212 updates tracked since enumeration
NPPES CertifiedOctober 11, 2021
✔ NPI 1104406800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
3825 FISHCREEK RD STE 110, Stow, OH 44224

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summa Health Outpatient Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20211005003168Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Summa Health Outpatient Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1740545235
9293 STATE ROUTE 43 SUITE B
Streetsboro, OH 44241
(330) 626-1113
✔ PECOS✔ Accepts Medicare6.4 mi
Nurse Practitioner
NPI 1427409663
75 ARCH ST SUITE 206
Akron, OH 44304
(330) 374-0009
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1770012312
13020 TILDEN RD
Hiram, OH 44234
(330) 297-7931
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1598430571
417 QUARRY LAKES DR
Sandusky, OH 44870
(419) 626-9090
✔ PECOS✔ Accepts Medicare72 mi
Infectious Disease
NPI 1992759302
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 423-2454
✔ PECOS✔ Accepts Medicare132 mi

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 Summa Health Outpatient Services LLC's NPI number?

The NPI number for Summa Health Outpatient Services LLC is 1104406800. It was assigned to this organization in the NPPES registry on April 8, 2021.

Where is Summa Health Outpatient Services LLC located?

Summa Health Outpatient Services LLC is located at 3825 Fishcreek Rd Ste 110, Stow, OH 44224. The listed phone number is (234) 867-6964.

What is Summa Health Outpatient Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

Is Summa Health Outpatient Services LLC enrolled in Medicare?

Yes. Summa Health Outpatient Services LLC is registered in the Medicare PECOS enrollment system.

When is Summa Health Outpatient Services LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Summa Health Outpatient Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Summa Health Outpatient Services 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 (4) and Infectious Disease (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Summa Health Outpatient Services LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Summa Health Outpatient Services 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 Summa Health Outpatient Services LLC was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.