TARA WINEBOLD MD
NPI 1861335788
Student in an Organized Health Care Education/Training Program in Beavercreek, OH

Active since April 14, 2026PECOS Enrolled
2145 N FAIRFIELD RD STE 100, BEAVERCREEK, OH 45431(937) 558-3900(937) 558-3999 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Winebold Md NPPES

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

TARA WINEBOLD MD (NPI 1861335788) is an individual student in an organized health care education/training program in Beavercreek, Ohio and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861335788
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTARA WINEBOLDCredential: MD
Location Address2145 N FAIRFIELD RD STE 100Beavercreek, OH 45431-2783
Mailing Address2145 N Fairfield Rd Ste 100Beavercreek, OH 45431-2783 · (937) 558-3900 · Fax (937) 558-3999
Fax(937) 558-3999
Sole ProprietorNo
Enumeration DateApril 14, 2026
NPPES CertifiedApril 14, 2026
NPI 1861335788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2145 N FAIRFIELD RD STE 100, Beavercreek, OH 45431

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tara Winebold Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Family Medicine
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431

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 Tara Winebold's NPI number?

The NPI number for Tara Winebold is 1861335788. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Tara Winebold located?

Tara Winebold practices at 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431. The listed phone number is (937) 558-3900.

What is Tara Winebold's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tara Winebold enrolled in Medicare?

Yes. Tara Winebold is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Winebold was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.