CONNEAUT MEDICAL GROUP
NPI 1679602882
Family Medicine in Conneaut, OH

Active since March 05, 2007
167F W MAIN RD, CONNEAUT, OH 44030(330) 599-7466(330) 593-6498 Get Directions Write a Review

NPPES record last updated: April 12, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Conneaut Medical Group NPPES

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

CONNEAUT MEDICAL GROUP (NPI 1679602882) is a healthcare organization registered as a family medicine in Conneaut, Ohio and active in the NPI registry since March 2007. The organization lists Steve Riddle, Director Of Billing Services, as its authorized official.

NPPES Registry Identity

NPI1679602882
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNIVERSITY PRIMARY CARE PRACTICES INC
Location Address167F W MAIN RDConneaut, OH 44030-2057
Mailing AddressPo Box 8792Belfast, ME 04915-8792 · (440) 599-7466 · Fax (440) 593-6498
Fax(330) 593-6498
Organization SubpartNo
Authorized OfficialSteve RiddleDirector Of Billing Services · (216) 383-6480
Enumeration DateMarch 5, 2007
Last NPPES UpdateApril 12, 2010
✔ NPI 1679602882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
167F W MAIN RD, Conneaut, OH 44030

Other Names 1

Doing Business AsConneaut Medical Group

Other Identifiers 1

Medicare PIN9307962OH

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conneaut Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20031125000767Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

1,430

Medicare enrollment records show 1,430 clinicians reassign Medicare billing to Conneaut Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 50

Nurse Practitioner207
Certified Registered Nurse Anesthetist (CRNA)185
Family Practice170
Anesthesiology136
Internal Medicine134
Anesthesiology Assistant101
Cardiovascular Disease (Cardiology)48
General Surgery39
42 other specialties410

Nearest to this location (20)

See all 1,430
Internal Medicine
NPI 1730461237
167 W MAIN RD STE F
Conneaut, OH 44030
(440) 599-7466
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093578247
167 W MAIN RD STE F
Conneaut, OH 44030
(440) 599-7466
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1295114387
167 W MAIN RD STE F
Conneaut, OH 44030
(440) 599-7466
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1871884494
158 W MAIN RD
Conneaut, OH 44030
(440) 593-0220
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1689315988
3315 N RIDGE RD E STE 200
Ashtabula, OH 44004
(440) 285-6000
✔ PECOS✔ Accepts Medicare9.6 mi
Otolaryngology
NPI 1033451158
3315 N RIDGE RD E STE 300
Ashtabula, OH 44004
(440) 214-8005
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1447921853
2422 LAKE AVE
Ashtabula, OH 44004
(440) 997-6731
✔ PECOS✔ Accepts Medicare11 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1386802650
2420 LAKE ROAD
Ashtabula, OH 44004
(440) 997-2262
✔ Accepts Medicare11 mi
Family Practice
NPI 1720333222
2131 LAKE AVE SUITE 4
Ashtabula, OH 44004
(440) 964-3733
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1710665013
3315 N RIDGE EAST STE 200
Ashtabula, OH 44004
(440) 964-3733
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1700468006
890 W MAIN ST
Geneva, OH 44041
(440) 466-1141
✔ PECOS✔ Accepts Medicare20 mi
Internal Medicine
NPI 1487750253
254 S BROADWAY
Geneva, OH 44041
(216) 383-0100
✔ PECOS✔ Accepts Medicare21 mi
Physical Medicine and Rehabilitation
NPI 1295296093
890 W MAIN ST STE 202
Geneva, OH 44041
(440) 593-0165
✔ PECOS✔ Accepts Medicare21 mi
Pulmonary Disease
NPI 1427070838
840 W MAIN ST SUITE 201
Geneva, OH 44041
(440) 593-0197
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1184244667
870 W MAIN ST
Geneva, OH 44041
(440) 466-1141
✔ PECOS✔ Accepts Medicare21 mi
General Surgery
NPI 1689606006
870 W MAIN ST # 201
Geneva, OH 44041
(440) 466-1141
✔ PECOS✔ Accepts Medicare21 mi
Internal Medicine
NPI 1508946708
701 N LAKE ST STE 102
Madison, OH 44057
(440) 428-1106
✔ PECOS✔ Accepts Medicare26 mi
General Surgery
NPI 1689634727
6270 N RIDGE RD
Madison, OH 44057
(440) 428-6800
✔ PECOS26 mi
Family Practice
NPI 1487615092
2999 MCMACKIN RD
Madison, OH 44057
(440) 428-1111
✔ PECOS✔ Accepts Medicare28 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972730257
200 STATE ST
Erie, PA 16507
(814) 453-3900
✔ Accepts Medicare29 mi
See all 1,430 clinicians

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 University Primary Care Practices Inc's NPI number?

The NPI number for University Primary Care Practices Inc is 1679602882. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is doing business as Conneaut Medical Group.

Where is University Primary Care Practices Inc located?

University Primary Care Practices Inc is located at 167F W Main Rd, Conneaut, OH 44030. The listed phone number is (330) 599-7466.

What is University Primary Care Practices Inc's specialty?

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

Is University Primary Care Practices Inc enrolled in Medicare?

Yes. University Primary Care Practices Inc is registered in the Medicare PECOS enrollment system.

When is University Primary Care Practices Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through University Primary Care Practices Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,430 clinicians in 50 Medicare specialties reassign their Medicare billing to University Primary Care Practices Inc. 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 (207), Certified Registered Nurse Anesthetist (CRNA) (185) and Family Practice (170). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for University Primary Care Practices Inc was last updated on April 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.