MEMORIAL PROFESSIONAL SERVICES LTD
NPI 1205139623
Internal Medicine - Pulmonary Disease in Fremont, OH

Active since December 07, 2010
715 S TAFT AVE, FREMONT, OH 43420(419) 332-7321 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Memorial Professional Services Ltd NPPES

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

MEMORIAL PROFESSIONAL SERVICES LTD (NPI 1205139623) is a healthcare organization registered as a pulmonary disease in Fremont, Ohio and active in the NPI registry since December 2010. The organization lists Robert W Littelmann, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205139623
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameMEMORIAL PROFESSIONAL SERVICES LTD
Location Address715 S TAFT AVEFremont, OH 43420-3200
Mailing Address715 S Taft AveFremont, OH 43420-3200 · (419) 332-7321
Organization SubpartYesParent: Memorial Hospital
Authorized OfficialRobert W LittelmannExecutive Director · (419) 334-6661
Enumeration DateDecember 7, 2010
Last NPPES UpdateDecember 23, 2015
✔ NPI 1205139623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X
715 S TAFT AVE, Fremont, OH 43420

Other Identifiers 2

Medicare PIN9392801OH
Medicaid3109791OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Memorial Professional Services Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

63

Medicare enrollment records show 63 clinicians reassign Medicare billing to Memorial Professional Services Ltd, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner20
Certified Nurse Midwife (CNM)13
Family Practice6
Obstetrics/Gynecology6
Mental Health Counselor4
Clinical Social Worker3
General Surgery2
Internal Medicine2
5 other specialties7

Nearest to this location (20)

See all 63
Infectious Disease
NPI 1962620294
715 S TAFT AVE
Fremont, OH 43420
(419) 334-6679
✔ PECOSSame address
Nurse Practitioner
NPI 1184021362
715 S TAFT AVE
Fremont, OH 43420
(419) 332-7321
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1336476241
715 S TAFT AVE
Fremont, OH 43420
(419) 334-6619
✔ PECOSSame address
Mental Health Counselor
NPI 1477881316
715 S TAFT AVE
Fremont, OH 43420
(419) 334-6619
✔ PECOSSame address
Pediatric Medicine
NPI 1336757350
715 S TAFT AVE
Fremont, OH 43420
(419) 334-6679
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1679719769
605 3RD AVE STE D
Fremont, OH 43420
(419) 355-8070
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1861155905
1922 GLEN SPRINGS DR
Fremont, OH 43420
(419) 333-2798
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1366941825
1922 GLEN SPRINGS DR
Fremont, OH 43420
(419) 333-2798
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1609003375
1922 GLEN SPRINGS DR
Fremont, OH 43420
(419) 333-2798
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1265093363
605 3RD AVE
Fremont, OH 43420
(419) 355-8070
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1336828557
710 CLEVELAND AVE
Fremont, OH 43420
(419) 334-6619
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1922764760
710 CLEVELAND AVE
Fremont, OH 43420
(419) 334-6619
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1518577980
710 CLEVELAND AVE
Fremont, OH 43420
(419) 334-6619
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1841520178
710 CLEVELAND AVE
Fremont, OH 43420
(419) 334-6619
✔ PECOS0.1 mi
Psychiatry
NPI 1649302621
710 CLEVELAND AVE
Fremont, OH 43420
(419) 334-6619
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1699723759
2265 HAYES AVE
Fremont, OH 43420
(419) 332-2616
✔ PECOS0.5 mi
Nephrology
NPI 1346551124
2265 HAYES AVE
Fremont, OH 43420
(419) 332-2616
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1881191542
2265 HAYES AVE
Fremont, OH 43420
(419) 332-2616
✔ PECOS✔ Accepts Medicare0.5 mi
General Surgery
NPI 1508974494
2281 HAYES AVE
Fremont, OH 43420
(419) 355-8488
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1821085952
2575 HAYES AVE SUITE 1
Fremont, OH 43420
(419) 332-1551
✔ PECOS✔ Accepts Medicare0.9 mi
See all 63 clinicians

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 Memorial Professional Services Ltd's NPI number?

The NPI number for Memorial Professional Services Ltd is 1205139623. It was assigned to this organization in the NPPES registry on December 7, 2010.

Where is Memorial Professional Services Ltd located?

Memorial Professional Services Ltd is located at 715 S Taft Ave, Fremont, OH 43420. The listed phone number is (419) 332-7321.

What is Memorial Professional Services Ltd's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Memorial Professional Services Ltd enrolled in Medicare?

Yes. Memorial Professional Services Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memorial Professional Services Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 63 clinicians in 13 Medicare specialties reassign their Medicare billing to Memorial Professional Services 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. The largest specialties are Nurse Practitioner (20), Certified Nurse Midwife (CNM) (13) and Family Practice (6). Of these, 4 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Memorial Professional Services Ltd accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Memorial Professional Services 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 Memorial Professional Services Ltd was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.