SOUTHERN OHIO MEDICAL INC
NPI 1700816774
Internal Medicine in Peebles, OH

Active since July 04, 2006CLIA 36D0915745 · Waiver
25800 STATE ROUTE 41, PEEBLES, OH 45660(937) 587-5435(937) 587-5437 Get Directions Write a Review

NPPES record last updated: April 19, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Ohio Medical Inc NPPES

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

SOUTHERN OHIO MEDICAL INC (NPI 1700816774) is a healthcare organization registered as an internal medicine in Peebles, Ohio and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 5, 2028 and lists Sabir M Quraishi, Owner, as its authorized official.

NPPES Registry Identity

NPI1700816774
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHERN OHIO MEDICAL INC
Location Address25800 STATE ROUTE 41Peebles, OH 45660-8953
Mailing Address25800 State Route 41, Po Box 415Peebles, OH 45660-8953 · (937) 587-5435 · Fax (937) 587-5437
Fax(937) 587-5437
Organization SubpartNo
Authorized OfficialSabir M QuraishiOwner · (937) 587-5435
Enumeration DateJuly 4, 2006
Last NPPES UpdateApril 19, 2011
✔ NPI 1700816774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
25800 STATE ROUTE 41, Peebles, OH 45660

Other Identifiers 1

Medicare PING55788OH

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

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)

Southern Ohio Medical Inc 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 Southern Ohio Medical Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1427082841
25800 STATE ROUTE 41
Peebles, OH 45660
(937) 587-5435
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1154633865
325 E CENTRAL AVE
Springboro, OH 45066
(937) 207-0975
✔ PECOS✔ Accepts Medicare62 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 of Waiver 36D0915745

Southern Ohio Medical Inc · Peebles, OH
Active · expires Jun 5, 2028
CLIA Number36D0915745
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorDiana L. Hanson
Laboratory Phone(937) 587-5435
Laboratory LocationSouthern Ohio Medical Inc25800 State Route 41, Peebles, OH 45660
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 Southern Ohio Medical Inc's NPI number?

The NPI number for Southern Ohio Medical Inc is 1700816774. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Southern Ohio Medical Inc located?

Southern Ohio Medical Inc is located at 25800 State Route 41, Peebles, OH 45660. The listed phone number is (937) 587-5435.

What is Southern Ohio Medical Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Southern Ohio Medical Inc enrolled in Medicare?

Yes. Southern Ohio Medical Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Ohio Medical Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southern Ohio Medical Inc, in Internal Medicine and Nurse Practitioner. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Ohio Medical Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0915745) is associated with this NPI, valid through June 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Ohio Medical Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Southern Ohio Medical Inc 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 Southern Ohio Medical Inc was last updated on April 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.