ST RICHARD'S CLINIC
NPI 1104677962
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Mason, OH
About St Richard's Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST RICHARD'S CLINIC (NPI 1104677962) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Mason, Ohio and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Chibuike Bruno Obioha, 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)
St Richard's Clinic 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 St Richard's Clinic, 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.
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 of Waiver 36D2325870
St Richards Clinic · Mason, OHFrequently 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 St Richard's Clinic's NPI number?
The NPI number for St Richard's Clinic is 1104677962. It was assigned to this organization in the NPPES registry on March 29, 2024.
Where is St Richard's Clinic located?
St Richard's Clinic is located at 4834 Socialville Foster Rd Ste 10, Mason, OH 45040. The listed phone number is (615) 692-2002.
What is St Richard's Clinic's specialty?
The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.
Is St Richard's Clinic enrolled in Medicare?
Yes. St Richard's Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Richard's Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Preventive Medicine) reassigns their Medicare billing to St Richard's Clinic. 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.
Does St Richard's Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2325870) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does St Richard's Clinic accept?
Health plans from Molina Healthcare list St Richard's Clinic 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 St Richard's Clinic was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# St Richard's Clinic · NPI 1104677962
Preventive Medicine/Occupational Environmental Medicine organization in Mason, Ohio. Organization record, active in the CMS NPPES registry since March 29, 2024.
## Identity
- **NPI:** 1104677962 (Entity type: Organization)
- **Enumerated:** March 29, 2024
- **Primary specialty:** Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine · taxonomy 2083P0500X
- **Organization subpart:** Yes (part of Chibuike Bruno Obioha Llc)
- **Authorized official:** Chibuike Obioha, OWNER
## Practice location
- **Address:** 4834 SOCIALVILLE FOSTER RD STE 10, Mason, OH 45040-6805
- **Phone:** (615) 692-2002
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Preventive Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104677962) · Data from the CMS NPPES public registry.