AULTMAN MEDICAL GROUP, INC
NPI 1164795795
Urology in Canton, OH
About Aultman Medical Group, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AULTMAN MEDICAL GROUP, INC (NPI 1164795795) is a healthcare organization registered as an urology in Canton, Ohio and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Matthew Stewart, President, 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)
Aultman Medical Group, 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 Aultman Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
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.
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 36D2281367
Aultman Medical Group Mansard Medical Center · Canton, 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 Aultman Medical Group, Inc's NPI number?
The NPI number for Aultman Medical Group, Inc is 1164795795. It was assigned to this organization in the NPPES registry on February 13, 2012.
Where is Aultman Medical Group, Inc located?
Aultman Medical Group, Inc is located at 2600 Sixth St SW, Canton, OH 44710. The listed phone number is (330) 452-9911.
What is Aultman Medical Group, Inc's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Aultman Medical Group, Inc enrolled in Medicare?
Yes. Aultman Medical Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Aultman Medical Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 6 Medicare specialties reassign their Medicare billing to Aultman Medical Group, 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 Neurology (10), Gastroenterology (4) and Internal Medicine (3). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Aultman Medical Group, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2281367) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Aultman Medical Group, Inc accept?
Health plans from Anthem Blue Cross and Blue Shield list Aultman Medical Group, 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 Aultman Medical Group, Inc was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Aultman Medical Group, Inc · NPI 1164795795
Urology organization in Canton, Ohio. Organization record, active in the CMS NPPES registry since February 13, 2012.
## Identity
- **NPI:** 1164795795 (Entity type: Organization)
- **Enumerated:** February 13, 2012
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** Matthew Stewart, PRESIDENT
## Practice location
- **Address:** 2600 SIXTH ST SW, Canton, OH 44710-1702
- **Phone:** (330) 452-9911
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Neurology (10), Gastroenterology (4), Internal Medicine (3); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 6, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164795795) · Data from the CMS NPPES public registry.