STARK PRIMARY CARE, LLC
NPI 1851578249
Internal Medicine in Canton, OH
About Stark Primary Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STARK PRIMARY CARE, LLC (NPI 1851578249) is a healthcare organization registered as an internal medicine in Canton, Ohio and active in the NPI registry since January 2008. The organization lists Venkatesan Ravishankar, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stark Primary Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Stark Primary Care, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Stark Primary Care, LLC's NPI number?
The NPI number for Stark Primary Care, LLC is 1851578249. It was assigned to this organization in the NPPES registry on January 28, 2008.
Where is Stark Primary Care, LLC located?
Stark Primary Care, LLC is located at 1455 Harrison Ave NW Suite 108, Canton, OH 44708. The listed phone number is (330) 455-4999.
What is Stark Primary Care, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Stark Primary Care, LLC enrolled in Medicare?
Yes. Stark Primary Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stark Primary Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Stark 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Stark Primary Care, LLC was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Stark Primary Care, Llc · NPI 1851578249
Internal Medicine organization in Canton, Ohio. Organization record, active in the CMS NPPES registry since January 28, 2008.
## Identity
- **NPI:** 1851578249 (Entity type: Organization)
- **Enumerated:** January 28, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Venkatesan Ravishankar, PRESIDENT
## Practice location
- **Address:** 1455 HARRISON AVE NW, SUITE 108, Canton, OH 44708-2621
- **Phone:** (330) 455-4999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 5, 2013
- **Other identifiers:** Medicare UPIN G29298 (OH); Medicare PIN 9373391 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1851578249) · Data from the CMS NPPES public registry.