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AVON MEDICLINIC,LLC
NPI 1962746958
Family Medicine in Elyria, OH

Active since November 15, 2012
1260 ABBE RD N, ELYRIA, OH 44035(440) 366-0455(440) 281-8839 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Avon Mediclinic,llc NPPES

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

AVON MEDICLINIC,LLC (NPI 1962746958) is a healthcare organization registered as a family medicine in Elyria, Ohio and active in the NPI registry since November 2012. The organization maintains a secondary practice location in Avon and lists Sanrae J Onyeneke, President, as its authorized official.

NPPES Registry Identity

NPI1962746958
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAVON MEDICLINIC,LLC
Location Address1260 ABBE RD NElyria, OH 44035-1649
Mailing Address1260 Abbe Rd NElyria, OH 44035-1649 · (440) 366-0455 · Fax (440) 281-8839
Phone(440) 366-0455
Fax(440) 281-8839
Organization SubpartNo
Authorized OfficialSanrae J OnyenekePresident · (440) 506-5674
Enumeration DateNovember 15, 2012
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1962746958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
1260 ABBE RD N, Elyria, OH 44035
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Secondary Practice Location 1

Location 12100 Center RdAvon, OH 44011-1891 · Phone (440) 506-5674 · Fax (440) 934-3546

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avon Mediclinic,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 Avon Mediclinic,llc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chuka Onyeneke, M.D.
Family Practice
NPI 1629104831
160 CLEVELAND ST
Elyria, OH 44035
(440) 317-0769
✔ PECOS3.1 mi

Source: 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 36D2079033

Avon Mediclinic · Elyria, OH
Expired · Sep 29, 2026
CLIA Number36D2079033
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorChuka Onyeneke
Laboratory Phone(440) 366-0455
Laboratory LocationAvon Mediclinic1260 Abbe Rd N, Elyria, OH 44035
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Avon Mediclinic,llc's NPI number?

The NPI number for Avon Mediclinic,llc is 1962746958. It was assigned to this organization in the NPPES registry on November 15, 2012.

Where is Avon Mediclinic,llc located?

Avon Mediclinic,llc is located at 1260 Abbe Rd N, Elyria, OH 44035. The listed phone number is (440) 366-0455.

What is Avon Mediclinic,llc's specialty?

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

Is Avon Mediclinic,llc enrolled in Medicare?

Yes. Avon Mediclinic,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Avon Mediclinic,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Avon Mediclinic,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.

What insurance does Avon Mediclinic,llc accept?

Health plans from CareSource list Avon Mediclinic,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 Avon Mediclinic,llc was last updated on May 20, 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.