OSUP COMMUNITY OUTREACH LLC
NPI 1699179929
Psychiatry & Neurology - Neurology in Dublin, OH

Active since October 15, 2014
555 METRO PL N, DUBLIN, OH 43017(614) 410-9580(614) 844-4589 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 26, 2023, Jan 24, 2022, Jul 29, 2021 and 1 more (4 updates tracked since 2019).

About Osup Community Outreach Llc NPPES

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

OSUP COMMUNITY OUTREACH LLC (NPI 1699179929) is a healthcare organization registered as a neurology in Dublin, Ohio and active in the NPI registry since October 2014. The organization lists Kyle L. Sharp, Associate Executive Director, as its authorized official.

NPPES Registry Identity

NPI1699179929
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameOSUP COMMUNITY OUTREACH LLC
Location Address555 METRO PL NDublin, OH 43017-5362
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 685-4601 · Fax (614) 366-3731
Fax(614) 844-4589
Organization SubpartNo
Authorized OfficialKyle L. SharpAssociate Executive Director · (614) 293-3202
Enumeration DateOctober 15, 2014
Last NPPES UpdateJanuary 26, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1699179929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
555 METRO PL N, Dublin, OH 43017

Other Identifiers 2

OtherDV2507OH · Railroad Medicare
Medicaid0112258OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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)

Osup Community Outreach Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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 IDO20141217001070Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

178

Medicare enrollment records show 178 clinicians reassign Medicare billing to Osup Community Outreach LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 44 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Emergency Medicine63
Nurse Practitioner54
Family Practice19
Internal Medicine10
Hospitalist5
Gastroenterology4
Neurology4
General Surgery3
13 other specialties16

Nearest to this location (20)

See all 178
Neurology
NPI 1578787990
555 METRO PL N
Dublin, OH 43017
(614) 410-9580
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1376606756
555 METRO PL N
Dublin, OH 43017
(614) 410-9580
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508515859
555 METRO PL N
Dublin, OH 43017
(614) 410-9580
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1124189931
555 METRO PL N
Dublin, OH 43017
(614) 410-9580
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1306208160
3900 STONERIDGE LN STE B
Dublin, OH 43017
(614) 685-1985
✔ PECOS✔ Accepts Medicare1.8 mi
Family Practice
NPI 1770070823
3900 STONERIDGE LN
Dublin, OH 43017
(614) 685-1985
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1245800622
3900 STONERIDGE LN
Dublin, OH 43017
(614) 685-1985
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1215666102
3900 STONERIDGE LN
Dublin, OH 43017
(614) 685-1985
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1639788110
3900 STONERIDGE LN
Dublin, OH 43017
(614) 685-1985
✔ PECOS1.8 mi
Internal Medicine
NPI 1376658500
3900 STONERIDGE LN STE B
Dublin, OH 43017
(614) 685-1985
✔ PECOS✔ Accepts Medicare1.8 mi
Family Practice
NPI 1780211581
6880 PERIMETER DR
Dublin, OH 43016
(614) 685-2805
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1326797671
6880 PERIMETER DR
Dublin, OH 43016
(614) 685-2805
✔ PECOS2.4 mi
Nurse Practitioner
NPI 1942852181
7243 SAWMILL RD STE 105
Dublin, OH 43016
(614) 302-4077
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1538852728
7537 SAWMILL RD
Dublin, OH 43016
(614) 333-6040
✔ PECOS✔ Accepts Medicare2.7 mi
Chiropractic
NPI 1275532483
1980 BETHEL RD
Columbus, OH 43220
(614) 685-6056
✔ Accepts Medicare3.7 mi
Family Practice
NPI 1538122809
1980 BETHEL RD STE 100
Columbus, OH 43220
(614) 685-6056
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1255977963
10401 SAWMILL PKWY
Powell, OH 43065
(614) 685-2805
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1316314156
3617 HERITAGE CLUB DR
Hilliard, OH 43026
(614) 685-2805
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1063997302
3617 HERITAGE CLUB DR
Hilliard, OH 43026
(614) 685-2805
✔ PECOS✔ Accepts Medicare5.0 mi
General Surgery
NPI 1548259492
170 NORTHWOODS BLVD STE 210
Columbus, OH 43235
(614) 505-7511
✔ PECOS✔ Accepts Medicare6.3 mi
See all 178 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 Osup Community Outreach LLC's NPI number?

The NPI number for Osup Community Outreach LLC is 1699179929. It was assigned to this organization in the NPPES registry on October 15, 2014.

Where is Osup Community Outreach LLC located?

Osup Community Outreach LLC is located at 555 Metro Pl N, Dublin, OH 43017. The listed phone number is (614) 410-9580.

What is Osup Community Outreach LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Osup Community Outreach LLC enrolled in Medicare?

Yes. Osup Community Outreach LLC is registered in the Medicare PECOS enrollment system.

When is Osup Community Outreach LLC'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 February 28, 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 Osup Community Outreach LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 178 clinicians in 21 Medicare specialties reassign their Medicare billing to Osup Community Outreach 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. The largest specialties are Emergency Medicine (63), Nurse Practitioner (54) and Family Practice (19). Of these, 3 practice at this address and 44 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Osup Community Outreach LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Osup Community Outreach 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 Osup Community Outreach LLC was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.