Active NPI
EMS Team LLC
Doing business as EMS Team
- Ambulance
- Vandalia, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 570122
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dereck M Pristas
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0071761 | Medicaid | OH |
Other names 2
- EMS Team
- Buckeye Critical Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120723000696 | OH | Part B Supplier - Ambulance Service Supplier | 5193981967 | Practice locations: Vandalia, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2252651 | EMS Team, LLC | Certificate of waiver | Feb 13, 2028 |
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
dba Kettering Health Transportation Services
- Land Ambulance
- Dayton, OH
- NPI 1407405285
Member Of
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.
-
- Paramedic
- Vandalia, OH
- NPI 1255686358
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.