INNOVATIVE FAMILY MEDICINE, LLC.
NPI 1548736374
Family Medicine in Dublin, OH
About Innovative Family Medicine, Llc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNOVATIVE FAMILY MEDICINE, LLC. (NPI 1548736374) is a healthcare organization registered as a family medicine in Dublin, Ohio and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Marvin S. Im, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Innovative Family Medicine, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Innovative Family Medicine, LLC., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 of Waiver 36D2157106
Innovative Family Medicine, LLC · Dublin, OHFrequently 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 Innovative Family Medicine, LLC.'s NPI number?
The NPI number for Innovative Family Medicine, LLC. is 1548736374. It was assigned to this organization in the NPPES registry on October 19, 2018.
Where is Innovative Family Medicine, LLC. located?
Innovative Family Medicine, LLC. is located at 6425 Post Rd Ste 102, Dublin, OH 43016. The listed phone number is (614) 813-0883.
What is Innovative Family Medicine, LLC.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Innovative Family Medicine, LLC. enrolled in Medicare?
Yes. Innovative Family Medicine, LLC. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Innovative Family Medicine, LLC.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Innovative Family Medicine, LLC., in Family Practice and Sports Medicine. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Innovative Family Medicine, LLC. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2157106) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Innovative Family Medicine, LLC. accept?
Health plans from Anthem Blue Cross and Blue Shield list Innovative Family Medicine, 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 Innovative Family Medicine, LLC. was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Innovative Family Medicine, Llc. · NPI 1548736374
Family Medicine organization in Dublin, Ohio. Organization record, active in the CMS NPPES registry since October 19, 2018.
## Identity
- **NPI:** 1548736374 (Entity type: Organization)
- **Enumerated:** October 19, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Marvin Im, OWNER
## Practice location
- **Address:** 6425 POST RD STE 102, Dublin, OH 43016-1347
- **Phone:** (614) 813-0883 · **Fax:** (614) 813-7173
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Sports Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1548736374) · Data from the CMS NPPES public registry.