PREMIER HEALTH SPECIALISTS INC
NPI 1194958223
Internal Medicine in Moraine, OH
NPI Status: Active since August 24, 2009
Contact Information
3170 KETTERING BLVD
BUILDING B 3RD FLOOR
MORAINE, OH
ZIP 45439
Phone: (937) 991-3188
Fax: (937) 223-9811
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 36D2178836
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-09-2026
About PREMIER HEALTH SPECIALISTS INC
This page provides the complete NPI Profile along with additional information for Premier Health Specialists Inc, an internist established in Moraine, Ohio operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1194958223 assigned on August 2009. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Premier Health Specialists Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Darlene Michel (Systems Support Analyst)
- NPI
- 1194958223
- Provider Name
- PREMIER HEALTH SPECIALISTS INC
- Entity Type
- Organization
- Location Address
- 3170 KETTERING BLVD BUILDING B 3RD FLOOR MORAINE, OH 45439
- Location Phone
- (937) 991-3188
- Location Fax
- (937) 223-9811
- Mailing Address
- 3170 KETTERING BLVD BUILDING B 3RD FLOOR MORAINE, OH 45439
- Mailing Phone
- (937) 991-3188
- Mailing Fax
- (937) 223-9811
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-24-2009
- Last Update Date
- 11-08-2024
- Code Navigator
An internist like Premier Health Specialists Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 2300 Miami Valley Dr Ste 380B
Centerville, OH 45459
(937) 832-9310 - 9000 N Main St Ste 233
Englewood, OH 45415
(937) 832-9310 - 2400 Lakeview Dr Ste 220
Beavercreek, OH 45431
(937) 320-0630 - 600 Aviator Ct Ste 220
Vandalia, OH 45377
(937) 335-3518 - 600 Aviator Ct Ste 210
Vandalia, OH 45377
(937) 335-3561 - 2400 Lakeview Dr Ste 210
Beavercreek, OH 45431
(937) 312-1661
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 204F00000X | Allopathic & Osteopathic Physicians | Transplant Surgery | |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 4 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 8 | 207UN0901X | Allopathic & Osteopathic Physicians | Nuclear Medicine | |
| 9 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 10 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 11 | 208800000X | Allopathic & Osteopathic Physicians | Urology | |
| 12 | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 13 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 14 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway 8500 for HSA - HMO
- Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway 5500 for HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0081671 | MEDICAID (05) | OH |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2178836
- Facility Type
- Physician Office
- Certificate Effective Date
- February 10, 2024
- Certificate Expiration Date
- February 09, 2026
- Laboratory Director
- HASAN CHAUDHRY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premier Health Specialists Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PREMIER HEALTH SPECIALISTS INC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1194958223, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
MORAINE, OH 45439
MORAINE, OH 45439
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194958223, enumerated as an "organization" on August 24, 2009.
The provider is located at 3170 KETTERING BLVD BUILDING B 3RD FLOOR MORAINE, OH 45439 and the phone number is (937) 991-3188.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
