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ORO VALLEY ADULT MEDICINE PA LLC
NPI 1679012181
Internal Medicine - Geriatric Medicine in Oro Valley, AZ

Active since February 16, 2017CLIA 03D2014023 · Waiver
555 E VUELTA CAMINATA DEL RIO, ORO VALLEY, AZ 85737(520) 547-5688(520) 547-4661 Get Directions Write a Review

NPPES record last updated: June 1, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2017, Feb 16, 2017 (2 updates tracked since 2017).

About Oro Valley Adult Medicine Pa Llc NPPES

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

ORO VALLEY ADULT MEDICINE PA LLC (NPI 1679012181) is a healthcare organization registered as a geriatric medicine in Oro Valley, Arizona and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through September 28, 2028, maintains a secondary practice location in Oro Valley, and lists Eun J Oh, Physician, as its authorized official.

NPPES Registry Identity

NPI1679012181
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameORO VALLEY ADULT MEDICINE PA LLC
Location Address555 E VUELTA CAMINATA DEL RIOOro Valley, AZ 85737
Mailing Address555 E Vuelta Caminata Del RioOro Valley, AZ 85737 · (520) 547-5688
Phone(520) 547-5688
Fax(520) 547-4661
Organization SubpartNo
Authorized OfficialEun J OhPhysician · (520) 310-6758
Enumeration DateFebruary 16, 2017
Last NPPES UpdateJune 1, 20182 updates tracked since enumeration
✔ NPI 1679012181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in AZ · 41024
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
555 E VUELTA CAMINATA DEL RIO, Oro Valley, AZ 85737
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Secondary Practice Location 1

Location 1760 E Pusch View Ln, Ste 100Oro Valley, AZ 85737-9235 · Phone (520) 460-6122

Other Identifiers 2

Other1043252844AZ · Npi
Other1558391672AZ · Npi

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oro Valley Adult Medicine Pa Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Oro Valley Adult Medicine PA 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)

John Dougherty, M.D.
Internal Medicine
NPI 1043252844
555 E. VUELTA CAMINATA DEL RIO
Oro Valley, AZ 85737
(520) 547-5688
✔ PECOS✔ Accepts MedicareSame address
Eun Oh, MD
Internal Medicine
NPI 1558391672
555 E VUELTA CAMINATA DEL RIO
Oro Valley, AZ 85737
(520) 547-5688
✔ PECOS✔ Accepts MedicareSame address

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 03D2014023

Oro Valley Adult Medicine PA LLC · Oro Valley, AZ
Active · expires Sep 28, 2028
CLIA Number03D2014023
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2026
Certificate Expiration DateSeptember 28, 2028
Laboratory DirectorJohn Dougherty
Laboratory Phone(520) 547-5688
Laboratory LocationOro Valley Adult Medicine PA LLC555 E Vuelta Caminata Del Rio, Oro Valley, AZ 85737
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Oro Valley Adult Medicine PA LLC's NPI number?

The NPI number for Oro Valley Adult Medicine PA LLC is 1679012181. It was assigned to this organization in the NPPES registry on February 16, 2017.

Where is Oro Valley Adult Medicine PA LLC located?

Oro Valley Adult Medicine PA LLC is located at 555 E Vuelta Caminata Del Rio, Oro Valley, AZ 85737. The listed phone number is (520) 547-5688.

What is Oro Valley Adult Medicine PA LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Oro Valley Adult Medicine PA LLC enrolled in Medicare?

Yes. Oro Valley Adult Medicine PA LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oro Valley Adult Medicine PA LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Oro Valley Adult Medicine PA 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Oro Valley Adult Medicine PA LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2014023) is associated with this NPI, valid through September 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oro Valley Adult Medicine PA LLC was last updated on June 1, 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.