RIDGELINE RECOVERY LLC
NPI 1104710193
Family Medicine in Columbus, OH
About Ridgeline Recovery Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIDGELINE RECOVERY LLC (NPI 1104710193) is a healthcare organization registered as a family medicine in Columbus, Ohio and active in the NPI registry since June 2025. The organization lists Brian Dean, Admin, 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)
Ridgeline Recovery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 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
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Ridgeline Recovery 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)
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 Ridgeline Recovery LLC's NPI number?
The NPI number for Ridgeline Recovery LLC is 1104710193. It was assigned to this organization in the NPPES registry on June 5, 2025.
Where is Ridgeline Recovery LLC located?
Ridgeline Recovery LLC is located at 491 Georgesville Rd, Columbus, OH 43228. The listed phone number is (614) 618-5000.
What is Ridgeline Recovery LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ridgeline Recovery LLC enrolled in Medicare?
Yes. Ridgeline Recovery LLC is registered in the Medicare PECOS enrollment system.
When is Ridgeline Recovery 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 December 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 Ridgeline Recovery LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Ridgeline Recovery 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 (3), Clinical Social Worker (1) and Emergency Medicine (1). Of these, 2 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 Ridgeline Recovery LLC was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Ridgeline Recovery Llc · NPI 1104710193
Family Medicine organization in Columbus, Ohio. Organization record, active in the CMS NPPES registry since June 5, 2025.
## Identity
- **NPI:** 1104710193 (Entity type: Organization)
- **Enumerated:** June 5, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Brian Dean, ADMIN
## Practice location
- **Address:** 491 GEORGESVILLE RD, Columbus, OH 43228-2420
- **Phone:** (614) 618-5000 · **Fax:** (614) 618-9586
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Ohio, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Clinical Social Worker (1), Emergency Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104710193) · Data from the CMS NPPES public registry.