NPIMap

Organization Active NPI

On Demand Immediate Care, LLC

Doing business as On Demand Primary Care

  • Internal Medicine Physician
  • Austintown, OH
National Provider Identifier
1629468061
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ON DEMAND IMMEDIATE CARE, LLC
Doing business as
On Demand Primary Care
Practice address
5760 Patriot Drive
Suite B
Austintown, OH 44515-1170
Phone
(330) 270-3660
NPI assigned
Jan 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Thomas R. Ivany
Title
Owner
Phone
(330) 270-3660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

5760 Patriot Drive
Suite B
Austintown, OH 44515-1170

Mailing address

5760 Patriot Drive
Suite D
Austintown, OH 44515-1170
Phone (330) 270-3660

Other practice location 1

1500 McKinley Ave
Niles, OH 44446-3718
Phone (330) 270-3660

Other identifiers 1

IdentifierTypeStateIssuer
0205041MedicaidOH

Other names 1

  • ON DEMAND PRIMARY CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190426001755 OH Part B Supplier - Clinic/Group Practice 7315289121 Receives reassigned benefits from 16 practitioners
Practice locations: Austintown, 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
36D2117399On Demand Immediate Care, LLC Dba5760 Patriot Blvd, Austintown, OH 44515Certificate of waiverAug 15, 2026
36D2293392On Demand Immediate Care, LLC1500 McKinley Ave, Niles, OH 44446Certificate of waiverNov 7, 2027

National Provider Directory

National Provider Directory

Locations

15898 Saint Clair Ave
Ste 2
East Liverpool, OH 43920

5760 Patriot Blvd
Ste D
Youngstown, OH 44515
Phone (330) 270-3660

5760 Patriot Blvd
Ste B
Youngstown, OH 44515
Phone (330) 270-3660

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1629468061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 PATRIOT DRIVE",
            "address_2": "SUITE D",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151170",
            "telephone_number": "330-270-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 PATRIOT DRIVE",
            "address_2": "SUITE B",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151170",
            "telephone_number": "330-270-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 McKinley Ave",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "OH",
            "postal_code": "444463718",
            "country_code": "US",
            "telephone_number": "330-270-3660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ON DEMAND IMMEDIATE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "IVANY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-270-3660"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0205041",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ON DEMAND PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.