Organization Active NPI

EMS Team LLC

Doing business as EMS Team

  • Ambulance
  • Vandalia, OH
National Provider Identifier
1528325255
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
570122 Issued in OH
Legal business name
EMS TEAM LLC
Doing business as
EMS Team
Practice address
3501 Hangar Dr
Vandalia, OH 45377-1056
Phone
(937) 877-1235
NPI assigned
Apr 19, 2012
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Dereck M PristasNPI 1255686358
Title
President
Phone
(937) 877-1235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 570122 OH Primary
Air Ambulance 3416A0800X
Land Ambulance 3416L0300X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

3501 Hangar Dr
Vandalia, OH 45377-1056

Mailing address

PO Box 189
Vandalia, OH 45377-0189
Phone (937) 877-1235

Other practice location 1

2360 W Dorothy Ln Ste 207
Moraine, OH 45439-1861
Phone (937) 877-1235

Other practice location 2

1275 N High St
Hillsboro, OH 45133-8273
Phone (937) 877-1235

Other identifiers 1

IdentifierTypeStateIssuer
0071761MedicaidOH

Other names 2

  • EMS Team Doing business as
  • Buckeye Critical Care Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120723000696 OH Part B Supplier - Ambulance Service Supplier 5193981967 Practice locations: Vandalia, 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
36D2252651EMS Team, LLC2360 W. Dorothy Lane, Moraine, OH 45439Certificate of waiverFeb 13, 2028

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1099 US Highway 22 W
Circleville, OH 43113
Phone (937) 435-1584

18646 US Highway 23 N
Circleville, OH 43113

2740 W National Rd
Dayton, OH 45414
Phone (937) 877-1235

2360 W Dorothy Ln
Ste 207
Moraine, OH 45439
Phone (937) 877-1235

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1528325255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453770189",
            "telephone_number": "937-877-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HANGAR DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771056",
            "telephone_number": "937-877-1235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2360 W Dorothy Ln Ste 207",
            "address_purpose": "LOCATION",
            "city": "Moraine",
            "state": "OH",
            "postal_code": "454391861",
            "country_code": "US",
            "telephone_number": "937-877-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 N High St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OH",
            "postal_code": "451338273",
            "country_code": "US",
            "telephone_number": "937-877-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMS TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "PRISTAS",
        "authorized_official_first_name": "DERECK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-877-1235"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "570122",
            "primary": true
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071761",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMS Team",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buckeye Critical Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vandalia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.