BUCKEYE CLINIC
NPI 1366029415
Community/Behavioral Health in Columbus, OH

Active since March 25, 2021
3121 W BROAD ST, COLUMBUS, OH 43204(614) 869-2002 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 9, 2024, Mar 25, 2021 (2 updates tracked since 2021).

About Buckeye Clinic NPPES

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

BUCKEYE CLINIC (NPI 1366029415) is a healthcare organization registered as a community/behavioral health in Columbus, Ohio and active in the NPI registry since March 2021. The organization maintains 3 additional practice locations and lists Manoj Sinha, Manager/ Owner, as its authorized official.

NPPES Registry Identity

NPI1366029415
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBUCKEYE CLINIC
Location Address3121 W BROAD STColumbus, OH 43204-1306
Mailing Address6805 Avery Muirfield Drive, Suite 103Dublin, OH 43016-7180 · (614) 534-1100 · Fax (614) 792-6240
Organization SubpartYes
Authorized OfficialManoj SinhaManager/ Owner · (614) 792-6242
Enumeration DateMarch 25, 2021
Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1366029415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
3121 W BROAD ST, Columbus, OH 43204

Secondary Practice Locations 3

Location 1231 Lafayette StLondon, OH 43140-8567 · Phone (614) 901-0844
Location 26805 Avery Muirfield Dr Ste 103Dublin, OH 43016-7182 · Phone (614) 534-1100 · Fax (614) 792-6240
Location 32735 Sawbury BlvdColumbus, OH 43235-3079 · Phone (614) 534-1100 · Fax (614) 792-6240

Other Identifiers 1

Medicaid0263169OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Buckeye Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Buckeye Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner7
Clinical Social Worker3
Family Practice2
Addiction Medicine1
Neurology1

Clinicians, nearest first (14)

Nurse Practitioner
NPI 1316489800
3121 W BROAD ST
Columbus, OH 43204
(614) 869-2002
✔ PECOSSame address
Nurse Practitioner
NPI 1215596788
3121 W BROAD ST
Columbus, OH 43204
(614) 869-2002
✔ PECOSSame address
Clinical Social Worker
NPI 1497274427
3121 W BROAD ST
Columbus, OH 43204
(614) 869-2002
✔ PECOSSame address
Neurology
NPI 1730277849
3121 W BROAD ST
Columbus, OH 43204
(614) 869-2002
✔ PECOSSame address
Nurse Practitioner
NPI 1700340999
1670 UPHAM DR FL 3
Columbus, OH 43210
(614) 293-9600
✔ PECOS✔ Accepts Medicare4.4 mi
Addiction Medicine
NPI 1699858316
1301 NORTH HIGH ST
Columbus, OH 43201
(614) 299-6600
✔ PECOS4.8 mi
Nurse Practitioner
NPI 1902328503
750 E LONG ST
Columbus, OH 43203
(614) 340-6700
✔ PECOS5.5 mi
Clinical Social Worker
NPI 1437840105
181 TAYLOR AVE
Columbus, OH 43203
(614) 293-9600
✔ PECOS6.6 mi
Nurse Practitioner
NPI 1790296549
181 TAYLOR AVE
Columbus, OH 43203
(614) 257-3414
✔ PECOS✔ Accepts Medicare6.6 mi
Family Practice
NPI 1104877042
4254 E MAIN ST
Columbus, OH 43213
(614) 235-9944
✔ PECOS11 mi
Clinical Social Worker
NPI 1023228285
1299 MCNAUGHTEN RD
Columbus, OH 43232
(614) 267-7003
✔ PECOS13 mi
Nurse Practitioner
NPI 1851137400
1085 POLARIS PKWY
Columbus, OH 43240
(614) 537-8320
✔ PECOS14 mi
Family Practice
NPI 1134105968
1272 W MAIN ST STE 503
Newark, OH 43055
(220) 564-1778
✔ PECOS34 mi
Nurse Practitioner
NPI 1346600558
2780 E FOWLER AVE # 601
Tampa, FL 33612
(813) 444-2276
✔ PECOS821 mi

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 Buckeye Clinic's NPI number?

The NPI number for Buckeye Clinic is 1366029415. It was assigned to this organization in the NPPES registry on March 25, 2021.

Where is Buckeye Clinic located?

Buckeye Clinic is located at 3121 W Broad St, Columbus, OH 43204. The listed phone number is (614) 869-2002.

What is Buckeye Clinic's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Buckeye Clinic enrolled in Medicare?

Yes. Buckeye Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Buckeye Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to Buckeye Clinic. 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 (7), Clinical Social Worker (3) and Family Practice (2). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Buckeye Clinic accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare list Buckeye Clinic 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 Buckeye Clinic 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.