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GEM CITY PRIMARY CARE LLC
NPI 1295410165
Internal Medicine in Dayton, OH

Active since June 19, 2023CLIA 36D2284807 · Waiver
118 W 1ST ST STE 800, DAYTON, OH 45402(937) 345-1436 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2023, Jun 19, 2023 (2 updates tracked since 2023).

About Gem City Primary Care Llc NPPES

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

GEM CITY PRIMARY CARE LLC (NPI 1295410165) is a healthcare organization registered as an internal medicine in Dayton, Ohio and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Matthew Ryan Noordsij-jones, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1295410165
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGEM CITY PRIMARY CARE LLC
Location Address118 W 1ST ST STE 800Dayton, OH 45402-1150
Mailing Address118 W 1st St Ste 800Dayton, OH 45402-1150 · (937) 345-1436
Phone(937) 345-1436
Organization SubpartNo
Authorized OfficialMatthew Ryan Noordsij-jonesOwner/physician · (937) 321-8698
Enumeration DateJune 19, 2023
Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1295410165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
Also ListedPediatricsTaxonomy 208000000X
118 W 1ST ST STE 800, Dayton, OH 45402
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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

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

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 36D2284807

Gem City Primary Care · Dayton, OH
Active · expires Jun 28, 2027
CLIA Number36D2284807
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorMatthew R. Noordsij-Jones
Laboratory Phone(937) 321-8698
Laboratory LocationGem City Primary Care118 West 1st Street, Ste 800, Dayton, OH 45402
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE ANN LAMBES M.D.
Internal Medicine
118 W 1ST ST STE 800
DAYTON, OH 45402
Montgomery County (937) 345-1436

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 Gem City Primary Care LLC's NPI number?

The NPI number for Gem City Primary Care LLC is 1295410165. It was assigned to this organization in the NPPES registry on June 19, 2023.

Where is Gem City Primary Care LLC located?

Gem City Primary Care LLC is located at 118 W 1st St Ste 800, Dayton, OH 45402. The listed phone number is (937) 345-1436.

What is Gem City Primary Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Gem City Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2284807) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gem City Primary Care LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Molina Healthcare list Gem City Primary Care LLC 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 Gem City Primary Care LLC was last updated on August 21, 2023. 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.