Machuca Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

92123 Issued in OH

Legal business name

MACHUCA MEDICAL LLC

Doing business as

Machuca Medical

Practice address

8648 Old Troy Pike Ste a
Huber Heights, OH 45424-1057

Phone

(937) 795-1101

Fax

(937) 795-1120

NPI assigned

Oct 11, 2016

Last updated

Jul 6, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer Lynn Machuca, MDNPI 1669694246

Title

Owner/ Solo Physician

Phone

(937) 795-1101

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Machuca Medical Doing business as

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Lynn Machuca, M.D.

  • Family Medicine Physician
  • Huber Heights, OH
  • NPI 1669694246
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1053861369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8648 OLD TROY PIKE STE A",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241057",
            "telephone_number": "937-795-1101",
            "fax_number": "937-795-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8648 OLD TROY PIKE STE A",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241057",
            "telephone_number": "937-795-1101",
            "fax_number": "937-795-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACHUCA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "MACHUCA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/ SOLO PHYSICIAN",
        "authorized_official_telephone_number": "937-795-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "92123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1053861369",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CS1721200145",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "H59861",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193739",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1669694246",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "H598960",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CS1721200142",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2893301",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY",
            "identifier": "MA4253051",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Clinisync",
            "affiliation": "Y",
            "endpointDescription": "Ohio HIE",
            "affiliationName": "Clinisync",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8648 Old Troy Pike Ste A",
            "city": "Huber Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454241057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@machucamedical.com",
            "affiliation": "N",
            "endpointDescription": "physical office address. EMR cloud based",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office staff for billing, record request",
            "address_1": "8648 Old Troy Pike Ste A",
            "city": "Huber Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454241057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "j.machuca@machucamedical.com",
            "affiliation": "N",
            "endpointDescription": "solo physician and owner",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "solo physician and owner",
            "address_1": "8648 Old Troy Pike Ste A",
            "city": "Huber Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454241057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Machuca Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Machuca Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lynn Lowe, LPN
• Anita Lucas, MSW, LSW
• Daniel L Lui, MD
• Keslina T Luoma
• Keelynn Lynch
• Jennifer Lynn Machuca, M.D.
• Emer J Makapugay, DDS
• Malissa Tracy, LMT (Hands Down Massage)
• Reynaldo G. Malonjao, LDO
• Katy Marconett

• Family Medicine Physician in Huber Heights, OH
• Providers in Huber Heights, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.