GREAT HEALTH MEDICAL OH INC
NPI 1104630912
Family Medicine in Wooster, OH
About Great Health Medical Oh Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT HEALTH MEDICAL OH INC (NPI 1104630912) is a healthcare organization registered as a family medicine in Wooster, Ohio and active in the NPI registry since February 2025. The organization lists Azlan Tariq, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Great Health Medical Oh Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Great Health Medical Oh Inc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (20)
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 Great Health Medical Oh Inc's NPI number?
The NPI number for Great Health Medical Oh Inc is 1104630912. It was assigned to this organization in the NPPES registry on February 3, 2025.
Where is Great Health Medical Oh Inc located?
Great Health Medical Oh Inc is located at 1552 N Honeytown Rd, Wooster, OH 44691. The listed phone number is (718) 470-0288.
What is Great Health Medical Oh Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Great Health Medical Oh Inc enrolled in Medicare?
Yes. Great Health Medical Oh Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Health Medical Oh Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 2 Medicare specialties reassign their Medicare billing to Great Health Medical Oh 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. The largest specialties are Nurse Practitioner (19) and Physical Medicine and Rehabilitation (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Great Health Medical Oh Inc accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Great Health Medical Oh 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 Great Health Medical Oh Inc was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Great Health Medical Oh Inc · NPI 1104630912
Family Medicine organization in Wooster, Ohio. Organization record, active in the CMS NPPES registry since February 3, 2025.
## Identity
- **NPI:** 1104630912 (Entity type: Organization)
- **Enumerated:** February 3, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Azlan Tariq, OWNER
## Practice location
- **Address:** 1552 N HONEYTOWN RD, Wooster, OH 44691-9511
- **Phone:** (718) 470-0288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (19), Physical Medicine and Rehabilitation (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104630912) · Data from the CMS NPPES public registry.