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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEARTLAND THERAPEUTICS, LLC
NPI 1538548391
Family Medicine in Dayton, OH

Active since May 27, 2015CLIA 36D2098737 · Microscopy
HEARTLAND THERAPEUTICS, 6310 N. MAIN ST., DAYTON, OH 45415(937) 701-0030(937) 221-9268 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Heartland Therapeutics, Llc NPPES

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

HEARTLAND THERAPEUTICS, LLC (NPI 1538548391) is a healthcare organization registered as a family medicine in Dayton, Ohio and active in the NPI registry since May 2015. The organization holds a CLIA Microscopy certificate valid through July 13, 2027 and lists Abdullahi Isa Mubarak, Owner, as its authorized official.

NPPES Registry Identity

NPI1538548391
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHEARTLAND THERAPEUTICS, LLC
Location AddressHEARTLAND THERAPEUTICS, 6310 N. MAIN ST.Dayton, OH 45415-3155
Mailing AddressHeartland Therapeutics, 6310 N. Main St.Dayton, OH 45415-3155 · (937) 701-0030 · Fax (937) 221-9268
Phone(937) 701-0030
Fax(937) 221-9268
Organization SubpartNo
Authorized OfficialAbdullahi Isa MubarakOwner · (937) 701-0031
Enumeration DateMay 27, 2015
Last NPPES UpdateOctober 15, 2026
✔ NPI 1538548391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedAnesthesiology · Addiction MedicineTaxonomy 207LA0401X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X · License 35051593 (OH)
HEARTLAND THERAPEUTICS, Dayton, OH 45415
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Other Identifiers 1

Medicaid0685585OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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)

Heartland Therapeutics, 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 Heartland Therapeutics, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Abdullahi Mubarak, M.D.
Addiction Medicine
NPI 1861521940
6310 N MAIN ST
Dayton, OH 45415
(937) 701-0030
✔ PECOS9.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 36D2098737

Heartland Therapeutics · Dayton, OH
Active · expires Jul 13, 2027
CLIA Number36D2098737
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorAbdullahi I. Mubarak
Laboratory Phone(937) 701-0030
Laboratory LocationHeartland Therapeutics6310 Main St (room A), Dayton, OH 45415
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Heartland Therapeutics, LLC's NPI number?

The NPI number for Heartland Therapeutics, LLC is 1538548391. It was assigned to this organization in the NPPES registry on May 27, 2015.

Where is Heartland Therapeutics, LLC located?

Heartland Therapeutics, LLC is located at Heartland Therapeutics 6310 N. Main St., Dayton, OH 45415. The listed phone number is (937) 701-0030.

What is Heartland Therapeutics, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heartland Therapeutics, LLC enrolled in Medicare?

Yes. Heartland Therapeutics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heartland Therapeutics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Addiction Medicine) reassigns their Medicare billing to Heartland Therapeutics, 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.

Does Heartland Therapeutics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D2098737) is associated with this NPI, valid through July 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Heartland Therapeutics, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Heartland Therapeutics, 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 Heartland Therapeutics, LLC was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.