BUCKEYE PRIMARY CARE LLC
NPI 1720905375
Family Medicine in Reynoldsburg, OH
About Buckeye Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BUCKEYE PRIMARY CARE LLC (NPI 1720905375), doing business as Eastside Primary Care, is a healthcare organization registered as a family medicine in Reynoldsburg, Ohio and active in the NPI registry since July 2026. The organization holds a CLIA Waiver certificate valid through September 13, 2028 and lists Damodar Poudel, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Buckeye Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Buckeye Primary Care 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)
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 36D2350641
Buckeye Primary Care LLC Dba Eastside Primary Care · Reynoldsburg, OHFrequently 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 Buckeye Primary Care LLC's NPI number?
The NPI number for Buckeye Primary Care LLC is 1720905375. It was assigned to this organization in the NPPES registry on July 3, 2026. The provider is doing business as Eastside Primary Care.
Where is Buckeye Primary Care LLC located?
Buckeye Primary Care LLC is located at 7335 E Livingston Ave, Reynoldsburg, OH 43068. The listed phone number is (516) 585-9359.
What is Buckeye Primary Care LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Buckeye Primary Care LLC enrolled in Medicare?
Yes. Buckeye Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Buckeye Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Buckeye Primary Care 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 Buckeye Primary Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2350641) is associated with this NPI, valid through September 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Buckeye Primary Care LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Buckeye Primary Care 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 Buckeye Primary Care LLC was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Buckeye Primary Care Llc · NPI 1720905375
Family Medicine organization in Reynoldsburg, Ohio. Organization record, active in the CMS NPPES registry since July 3, 2026.
## Identity
- **NPI:** 1720905375 (Entity type: Organization)
- **Enumerated:** July 3, 2026
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Eastside Primary Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Damodar Poudel, MEMBER
## Practice location
- **Address:** 7335 E LIVINGSTON AVE, Reynoldsburg, OH 43068-3089
- **Phone:** (516) 585-9359
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720905375) · Data from the CMS NPPES public registry.