BUCKEYE CLINIC
NPI 1174115034
Clinic/Center - Rehabilitation, Substance Use Disorder in Columbus, OH
About Buckeye Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BUCKEYE CLINIC (NPI 1174115034) is a healthcare organization registered as a rehabilitation, substance use disorder in Columbus, Ohio and active in the NPI registry since February 2021. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Manoj Sinha, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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)
Buckeye Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Buckeye Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (14)
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 2
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 36D2341399
Buckeye Clinic LLC · Columbus, OHCertificate of Waiver 36D2302127
Buckeye Clinic · Columbus, 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 Buckeye Clinic's NPI number?
The NPI number for Buckeye Clinic is 1174115034. It was assigned to this organization in the NPPES registry on February 10, 2021.
Where is Buckeye Clinic located?
Buckeye Clinic is located at 3121 W Broad St, Columbus, OH 43204. The listed phone number is (614) 869-2002.
What is Buckeye Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Is Buckeye Clinic enrolled in Medicare?
Yes. Buckeye Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Buckeye Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to Buckeye 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. The largest specialties are Nurse Practitioner (7), Clinical Social Worker (3) and Family Practice (2). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Buckeye Clinic hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Buckeye Clinic accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Buckeye 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 Buckeye Clinic was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Buckeye Clinic · NPI 1174115034
Rehabilitation, Substance Use Disorder organization in Columbus, Ohio. Organization record, active in the CMS NPPES registry since February 10, 2021.
## Identity
- **NPI:** 1174115034 (Entity type: Organization)
- **Enumerated:** February 10, 2021
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Manoj Sinha, CEO
## Practice location
- **Address:** 3121 W BROAD ST, Columbus, OH 43204-1306
- **Phone:** (614) 869-2002
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Clinical Social Worker (3), Family Practice (2); 4 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174115034) · Data from the CMS NPPES public registry.