CARDIO TERRA, LTD
NPI 1194155135
Internal Medicine - Cardiovascular Disease in Celina, OH

Q: What is Cardio Terra, Ltd's NPI number?

The NPI number for Cardio Terra, Ltd is 1194155135. It was assigned to this organization in the NPPES registry on November 12, 2013.

Q: What is Cardio Terra, Ltd's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Cardio Terra, Ltd was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since November 12, 2013

4112 MONROE RD, CELINA, OH 45822(567) 890-9000(567) 890-9009 Get Directions Write a Review

NPPES record last updated: January 8, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Cardio Terra, Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARDIO TERRA, LTD (NPI 1194155135) is a healthcare organization registered as a cardiovascular disease in Celina, Ohio and active in the NPI registry since November 2013. The organization lists Jerry Joe Boley, Member, as its authorized official.

NPPES Registry Identity

NPI1194155135

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameCARDIO TERRA, LTD

Location Address4112 MONROE RDCelina, OH 45822-9250

Mailing Address4112 Monroe RdCelina, OH 45822-9250 · (567) 890-9000 · Fax (567) 890-9009

Phone(567) 890-9000

Fax(567) 890-9009

Organization SubpartNo

Authorized OfficialJerry Joe BoleyMember · (614) 850-0081

Enumeration DateNovember 12, 2013

Last NPPES UpdateJanuary 8, 2014

✔ NPI 1194155135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

4112 MONROE RD, Celina, OH 45822

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Other Identifiers 2

Medicare PIN0803838

Medicaid307108OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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)

Cardio Terra, Ltd 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 Cardio Terra, Ltd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jerry Boley, M.D.

Cardiovascular Disease (Cardiology)

NPI 1962465435

4112 MONROE RD
Celina, OH 45828

(614) 580-8563

✔ PECOS✔ Accepts MedicareSame address

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 Cardio Terra, Ltd's NPI number?

The NPI number for Cardio Terra, Ltd is 1194155135. It was assigned to this organization in the NPPES registry on November 12, 2013.

Where is Cardio Terra, Ltd located?

Cardio Terra, Ltd is located at 4112 Monroe Rd, Celina, OH 45822. The listed phone number is (567) 890-9000.

What is Cardio Terra, Ltd's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Cardio Terra, Ltd enrolled in Medicare?

Yes. Cardio Terra, Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cardio Terra, Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Cardio Terra, Ltd. 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.

What insurance does Cardio Terra, Ltd accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Cardio Terra, Ltd 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 Cardio Terra, Ltd was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.