OWENSBORO HEALTH MOBILE CLINIC
NPI 1861248502
Family Medicine in Owensboro, KY
About Owensboro Health Mobile Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OWENSBORO HEALTH MOBILE CLINIC (NPI 1861248502) is a healthcare organization registered as a family medicine in Owensboro, Kentucky and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Russell S. Ranallo, Secretary-cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
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)
Owensboro Health Mobile Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
641Medicare enrollment records show 641 clinicians reassign Medicare billing to Owensboro Health Mobile Clinic, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 257 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 47
Nearest to this location (20)
See all 641Source: 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 18D2304296
Owensboro Health Mobile Clinic · Owensboro, KYFrequently 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 Owensboro Health Medical Group, Inc.'s NPI number?
The NPI number for Owensboro Health Medical Group, Inc. is 1861248502. It was assigned to this organization in the NPPES registry on April 24, 2024. The provider is doing business as Owensboro Health Mobile Clinic.
Where is Owensboro Health Medical Group, Inc. located?
Owensboro Health Medical Group, Inc. is located at 811 E Parrish Ave Ste 102-B, Owensboro, KY 42303. The listed phone number is (270) 688-1009.
What is Owensboro Health Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Owensboro Health Medical Group, Inc. enrolled in Medicare?
Yes. Owensboro Health Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Owensboro Health Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 641 clinicians in 47 Medicare specialties reassign their Medicare billing to Owensboro Health Medical Group, Inc.. 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. The largest specialties are Nurse Practitioner (193), Emergency Medicine (55) and Family Practice (52). Of these, 18 practice at this address and 257 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Owensboro Health Medical Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2304296) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Owensboro Health Medical Group, Inc. was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Owensboro Health Mobile Clinic · NPI 1861248502
Family Medicine organization in Owensboro, Kentucky. Organization record, active in the CMS NPPES registry since April 24, 2024.
## Identity
- **NPI:** 1861248502 (Entity type: Organization)
- **Enumerated:** April 24, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Owensboro Health Medical Group, Inc.
- **Organization subpart:** Yes (part of Owensboro Health, Inc)
- **Authorized official:** Russell Ranallo, SECRETARY-CFO
## Practice location
- **Address:** 811 E PARRISH AVE STE 102-B, Owensboro, KY 42303-3258
- **Phone:** (270) 688-1009 · **Fax:** (270) 688-1010
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 641 clinicians in 47 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (193), Emergency Medicine (55), Family Practice (52); 18 practice at this address and 257 within 10 miles; [full list](https://npiprofile.com/npi/1861248502/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861248502) · Data from the CMS NPPES public registry.