CARECONNECTMD OHIO, LLC
NPI 1255971537
General Practice in Columbus, OH
About Careconnectmd Ohio, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARECONNECTMD OHIO, LLC (NPI 1255971537) is a healthcare organization registered as a general practice in Columbus, Ohio and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Columbus and lists Kim Phan, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Careconnectmd Ohio, Llc 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 Careconnectmd Ohio, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Careconnectmd Ohio, LLC's NPI number?
The NPI number for Careconnectmd Ohio, LLC is 1255971537. It was assigned to this organization in the NPPES registry on January 14, 2020.
Where is Careconnectmd Ohio, LLC located?
Careconnectmd Ohio, LLC is located at 20 S 3rd St Ste 210, Columbus, OH 43215. The listed phone number is (888) 789-9585.
What is Careconnectmd Ohio, LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Careconnectmd Ohio, LLC enrolled in Medicare?
Yes. Careconnectmd Ohio, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Careconnectmd Ohio, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Careconnectmd Ohio, LLC. 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.
When was this NPI record last updated?
The NPPES record for Careconnectmd Ohio, LLC 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.
# Careconnectmd Ohio, Llc · NPI 1255971537
General Practice organization in Columbus, Ohio. Organization record, active in the CMS NPPES registry since January 14, 2020.
## Identity
- **NPI:** 1255971537 (Entity type: Organization)
- **Enumerated:** January 14, 2020
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Kim Phan, CEO
## Practice location
- **Address:** 20 S 3RD ST STE 210, Columbus, OH 43215-4206
- **Phone:** (888) 789-9585
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255971537) · Data from the CMS NPPES public registry.