AUTUMN TREATMENT CENTER LLC
NPI 1104633221
Family Medicine in Springfield, OH
About Autumn Treatment Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN TREATMENT CENTER LLC (NPI 1104633221) is a healthcare organization registered as a family medicine in Springfield, Ohio and active in the NPI registry since December 2024. The organization lists Madhukar Narahari, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Autumn Treatment Center 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.
Clinicians Billing Medicare Through This Organization
36Medicare enrollment records show 36 clinicians reassign Medicare billing to Autumn Treatment Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 36Source: 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 Autumn Treatment Center LLC's NPI number?
The NPI number for Autumn Treatment Center LLC is 1104633221. It was assigned to this organization in the NPPES registry on December 12, 2024.
Where is Autumn Treatment Center LLC located?
Autumn Treatment Center LLC is located at 1176 E Home Rd, Springfield, OH 45503. The listed phone number is (614) 943-3839.
What is Autumn Treatment Center LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Autumn Treatment Center LLC enrolled in Medicare?
Yes. Autumn Treatment Center LLC is registered in the Medicare PECOS enrollment system.
When is Autumn Treatment Center 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 Autumn Treatment Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 5 Medicare specialties reassign their Medicare billing to Autumn Treatment Center 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 (14), Clinical Social Worker (13) and Mental Health Counselor (4). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Autumn Treatment Center LLC was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Autumn Treatment Center Llc · NPI 1104633221
Family Medicine organization in Springfield, Ohio. Organization record, active in the CMS NPPES registry since December 12, 2024.
## Identity
- **NPI:** 1104633221 (Entity type: Organization)
- **Enumerated:** December 12, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Madhukar Narahari, CEO
## Practice location
- **Address:** 1176 E HOME RD, Springfield, OH 45503-2726
- **Phone:** (614) 943-3839
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Ohio, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 36 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Clinical Social Worker (13), Mental Health Counselor (4); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1104633221/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104633221) · Data from the CMS NPPES public registry.