MEDCARE CLINIC LLC
NPI 1831684232
Clinic/Center - Primary Care in Columbus, OH

Active since June 27, 2018CLIA 36D2151795 · Waiver
4125 W BROAD ST, COLUMBUS, OH 43228(614) 441-1929 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2018, Jun 27, 2018 (2 updates tracked since 2018).

About Medcare Clinic Llc NPPES

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

MEDCARE CLINIC LLC (NPI 1831684232) is a healthcare organization registered as a primary care in Columbus, Ohio and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through July 26, 2028 and lists Amina M Abdule, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1831684232
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMEDCARE CLINIC LLC
Location Address4125 W BROAD STColumbus, OH 43228
Mailing Address5360 Redwood RdColumbus, OH 43229-4441 · (614) 441-1929
Organization SubpartNo
Authorized OfficialAmina M AbduleFamily Nurse Practitioner · (614) 441-1929
Enumeration DateJune 27, 2018
Last NPPES UpdateJuly 12, 20182 updates tracked since enumeration
✔ NPI 1831684232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4125 W BROAD ST, Columbus, OH 43228

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)

Medcare Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Medcare Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1992405047
4125 W BROAD ST
Columbus, OH 43228
(614) 824-2840
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316346786
460 W 10TH AVE
Columbus, OH 43210
(614) 293-5066
✔ PECOS5.7 mi
Nurse Practitioner
NPI 1942609243
3539 CLEVELAND AVE
Columbus, OH 43224
(614) 826-7445
✔ PECOS✔ Accepts Medicare10.0 mi
Nurse Practitioner
NPI 1043077084
3805 EMERALD PKWY
Dublin, OH 43016
(614) 665-9733
✔ PECOS12 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 36D2151795

Medcare Clinic LLC · Columbus, OH
Active · expires Jul 26, 2028
CLIA Number36D2151795
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2026
Certificate Expiration DateJuly 26, 2028
Laboratory DirectorHibo A. Abdi
Laboratory Phone(614) 824-2840
Laboratory LocationMedcare Clinic LLC4125 W Broad St, Columbus, OH 43228
CLIA data matches this NPI record on: Address Name
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 Medcare Clinic LLC's NPI number?

The NPI number for Medcare Clinic LLC is 1831684232. It was assigned to this organization in the NPPES registry on June 27, 2018.

Where is Medcare Clinic LLC located?

Medcare Clinic LLC is located at 4125 W Broad St, Columbus, OH 43228. The listed phone number is (614) 441-1929.

What is Medcare Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Medcare Clinic LLC enrolled in Medicare?

Yes. Medcare Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medcare Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Medcare Clinic 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medcare Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2151795) is associated with this NPI, valid through July 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medcare Clinic LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Medcare Clinic 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 Medcare Clinic LLC was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.