HYATT FAMILY CARE
NPI 1851490973
Family Medicine in Tipp City, OH

Active since September 22, 2006CLIA 36D0348647 · Waiver
450 N HYATT ST, SUITE 202, TIPP CITY, OH 45371(937) 669-9978(937) 669-1266 Get Directions Write a Review

NPPES record last updated: August 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hyatt Family Care NPPES

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

HYATT FAMILY CARE (NPI 1851490973) is a healthcare organization registered as a family medicine in Tipp City, Ohio and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Pam Rader, Administrator, as its authorized official.

NPPES Registry Identity

NPI1851490973
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUPPER VALLEY PROFESSIONAL CORPORATION
Location Address450 N HYATT ST, SUITE 202Tipp City, OH 45371-1433
Mailing AddressPo Box 479Troy, OH 45373-0479 · (937) 669-9978 · Fax (937) 669-1266
Fax(937) 669-1266
Organization SubpartNo
Authorized OfficialPam RaderAdministrator · (937) 440-7454
Enumeration DateSeptember 22, 2006
Last NPPES UpdateAugust 20, 2010
NPI 1851490973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
450 N HYATT ST, Tipp City, OH 45371

Other Names 1

Doing Business AsHyatt Family Care

Other Identifiers 2

Medicare PIN9272591OH
Medicaid2616404OH

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

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 36D0348647

Hyatt Family Care · Tipp City, OH
Active · expires Aug 31, 2026
CLIA Number36D0348647
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAnupama S. Kulkarni
Laboratory Phone(937) 669-9978
Laboratory LocationHyatt Family Care450 North Hyatt Suite 201/202, Tipp City, OH 45371
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
450 N HYATT ST, SUITE 206
TIPP CITY, OH 45371
Specialist/Technologist (Athletic Trainer)
450 N HYATT ST, SUITE 102
TIPP CITY, OH 45371
Family Medicine
450 N HYATT ST, 202
TIPP CITY, OH 45371
Nurse Practitioner (Family)
450 N HYATT ST
TIPP CITY, OH 45371
Internal Medicine (Gastroenterology)
450 N HYATT ST, SUITE 302
TIPP CITY, OH 45371
Specialist/Technologist (Athletic Trainer)
450 N HYATT ST, STE102
TIPP CITY, OH 45371
Specialist/Technologist (Athletic Trainer)
450 N HYATT ST
TIPP CITY, OH 45371
Physical Therapist (Orthopedic)
450 N HYATT ST, SUITE 102
TIPP CITY, OH 45371

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 Upper Valley Professional Corporation's NPI number?

The NPI number for Upper Valley Professional Corporation is 1851490973. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as Hyatt Family Care.

Where is Upper Valley Professional Corporation located?

Upper Valley Professional Corporation is located at 450 N Hyatt St Suite 202, Tipp City, OH 45371. The listed phone number is (937) 669-9978.

What is Upper Valley Professional Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Upper Valley Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0348647) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Upper Valley Professional Corporation was last updated on August 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.