INTEGRATED MEDICAL GROUP LLC
NPI 1912578550
General Practice in Defiance, OH
About Integrated Medical Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED MEDICAL GROUP LLC (NPI 1912578550), doing business as Integrated Chiropractic, is a healthcare organization registered as a general practice in Defiance, Ohio and active in the NPI registry since July 2021. The organization lists Megan C Parks, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integrated Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Integrated Medical Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Integrated Medical Group LLC's NPI number?
The NPI number for Integrated Medical Group LLC is 1912578550. It was assigned to this organization in the NPPES registry on July 6, 2021. The provider is doing business as Integrated Chiropractic. The provider was formerly known as DeTray Chiropractic Center.
Where is Integrated Medical Group LLC located?
Integrated Medical Group LLC is located at 210 Latchaw Dr, Defiance, OH 43512. The listed phone number is (419) 785-4215.
What is Integrated Medical Group LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Integrated Medical Group LLC enrolled in Medicare?
Yes. Integrated Medical Group LLC is registered in the Medicare PECOS enrollment system.
When is Integrated Medical Group LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Integrated Medical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Integrated Medical Group 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Integrated Medical Group LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Integrated Medical Group 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 Integrated Medical Group LLC was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Integrated Medical Group Llc · NPI 1912578550
General Practice organization in Defiance, Ohio. Organization record, active in the CMS NPPES registry since July 6, 2021.
## Identity
- **NPI:** 1912578550 (Entity type: Organization)
- **Enumerated:** July 6, 2021
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Also known as:** Integrated Chiropractic (Doing Business As); DeTray Chiropractic Center (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Megan Parks, OWNER
## Practice location
- **Address:** 210 LATCHAW DR, Defiance, OH 43512-4315
- **Phone:** (419) 785-4215 · **Fax:** (419) 785-4274
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Ohio, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912578550) · Data from the CMS NPPES public registry.