Organization Active NPI

Medix Urgent Care and Occupational Health, LLC

  • Urgent Care Clinic/Center
  • Centerville, OH
National Provider Identifier
1285033720
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDIX URGENT CARE AND OCCUPATIONAL HEALTH, LLC
Practice address
4433 Feedwire Rd
Centerville, OH 45440-3901
Phone
(937) 435-4643
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Mr. Nadarajah Navayogarajah
Title
Treasurer-Secretary
Phone
(937) 435-4643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

4433 Feedwire Rd
Centerville, OH 45440-3901

Mailing address

7457 Pelbrook Farm Dr
Dayton, OH 45459-5066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150313001946 OH Part B Supplier - Clinic/Group Practice 2062738834 Receives reassigned benefits from 1 practitioner
Practice locations: Centerville, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2096847Medix Urgent Care and Occupational Health4433 Feedwire Road, Dayton, OH 45440Certificate of waiverJun 1, 2027

National Provider Directory

National Provider Directory

Locations

4433 Feedwire Rd
Dayton, OH 45440
Phone (937) 401-2390

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1285033720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7457 PELBROOK FARM DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454595066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 FEEDWIRE RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454403901",
            "telephone_number": "937-435-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIX URGENT CARE AND OCCUPATIONAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "NAVAYOGARAJAH",
        "authorized_official_first_name": "NADARAJAH",
        "authorized_official_title_or_position": "TREASURER-SECRETARY",
        "authorized_official_telephone_number": "937-435-4643",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.