OWENSBORO HEALTH MEDICAL GROUP - FAMILY MEDICINE
NPI 1194161984
Clinic/Center - Rural Health in Beaver Dam, KY
About Owensboro Health Medical Group - Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OWENSBORO HEALTH MEDICAL GROUP - FAMILY MEDICINE (NPI 1194161984) is a healthcare organization registered as a rural health in Beaver Dam, Kentucky and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Russell S Ranallo, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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)
Owensboro Health Medical Group - Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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
641Medicare enrollment records show 641 clinicians reassign Medicare billing to Owensboro Health Medical Group - Family Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 47
Nearest to this location (20)
See all 641Source: 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 18D1070630
Owensboro Health Medical Group Family Medicine · Beaver Dam, KYFrequently 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 Owensboro Health Medical Group, Inc's NPI number?
The NPI number for Owensboro Health Medical Group, Inc is 1194161984. It was assigned to this organization in the NPPES registry on May 20, 2013. The provider is doing business as Owensboro Health Medical Group - Family Medicine.
Where is Owensboro Health Medical Group, Inc located?
Owensboro Health Medical Group, Inc is located at 1213 N Main St, Beaver Dam, KY 42320. The listed phone number is (270) 274-4771.
What is Owensboro Health Medical Group, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Owensboro Health Medical Group, Inc enrolled in Medicare?
Yes. Owensboro Health Medical Group, Inc is registered in the Medicare PECOS enrollment system.
When is Owensboro Health Medical Group, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Kentucky, Rural Health Clinic) is due for revalidation by February 28, 2027. 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 Owensboro Health Medical Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 641 clinicians in 47 Medicare specialties reassign their Medicare billing to Owensboro Health 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 Nurse Practitioner (193), Emergency Medicine (55) and Family Practice (52). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Owensboro Health Medical Group, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D1070630) is associated with this NPI, valid through August 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Owensboro Health Medical Group, Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Owensboro Health 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 Owensboro Health Medical Group, Inc was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Owensboro Health Medical Group - Family Medicine · NPI 1194161984
Rural Health organization in Beaver Dam, Kentucky. Organization record, active in the CMS NPPES registry since May 20, 2013.
## Identity
- **NPI:** 1194161984 (Entity type: Organization)
- **Enumerated:** May 20, 2013
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Owensboro Health Medical Group, Inc
- **Organization subpart:** Yes (part of Owensboro Health, Inc)
- **Authorized official:** Russell Ranallo, SECRETARY
## Practice location
- **Address:** 1213 N MAIN ST, Beaver Dam, KY 42320-8955
- **Phone:** (270) 274-4771 · **Fax:** (270) 274-4884
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, Kentucky, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 641 clinicians in 47 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (193), Emergency Medicine (55), Family Practice (52); 1 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1194161984/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194161984) · Data from the CMS NPPES public registry.