WOOSTER UROLOGY LLC
NPI 1710274097
Urology in Wooster, OH

Active since July 07, 2011CLIA 36D0716145 · Waiver
546 WINTER ST, SUITE 210, WOOSTER, OH 44691(330) 345-5533(330) 345-7659 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wooster Urology Llc NPPES

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

WOOSTER UROLOGY LLC (NPI 1710274097) is a healthcare organization registered as an urology in Wooster, Ohio and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Paul J Crowley, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1710274097
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameWOOSTER UROLOGY LLC
Location Address546 WINTER ST, SUITE 210Wooster, OH 44691-2300
Mailing Address546 Winter St, Suite 210Wooster, OH 44691-2300 · (330) 345-5533 · Fax (330) 345-7659
Fax(330) 345-7659
Organization SubpartNo
Authorized OfficialPaul J CrowleyManaging Partner · (330) 345-5533
Enumeration DateJuly 7, 2011
Last NPPES UpdateFebruary 16, 2012
✔ NPI 1710274097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in OH · 57530✔ Licensed in OH · 35-090639
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedUrology · Pediatric UrologyTaxonomy 2088P0231X · License 57530 (OH), 35-090639 (OH)
546 WINTER ST, Wooster, OH 44691

Other Identifiers 5

Medicaid0714954OH
Medicaid2995497OH
Other0624801Medicare Ptan
Other4266321Medicare Ptan
Medicare UPINC51967OH

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 MULTIPLE 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)

Wooster Urology 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 Wooster Urology LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Urology
NPI 1245485374
546 WINTER ST SUITE 210
Wooster, OH 44691
(330) 345-5533
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1407569510
7337 CARITAS CIR NW
Massillon, OH 44646
(330) 830-6110
✔ PECOS✔ Accepts Medicare24 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 36D0716145

Wooster Urology LLC · Wooster, OH
Active · expires Dec 19, 2026
CLIA Number36D0716145
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorRoberta Houghton
Laboratory Phone(330) 345-5533
Laboratory LocationWooster Urology LLC546 Winter Street Suite 210, Wooster, OH 44691
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 Wooster Urology LLC's NPI number?

The NPI number for Wooster Urology LLC is 1710274097. It was assigned to this organization in the NPPES registry on July 7, 2011.

Where is Wooster Urology LLC located?

Wooster Urology LLC is located at 546 Winter St Suite 210, Wooster, OH 44691. The listed phone number is (330) 345-5533.

What is Wooster Urology LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Wooster Urology LLC enrolled in Medicare?

Yes. Wooster Urology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wooster Urology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Wooster Urology LLC, in Nurse Practitioner and Urology. 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 Wooster Urology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0716145) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wooster Urology LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Wooster Urology 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 Wooster Urology LLC was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.