NPIMap

Individual provider Active NPI

Jennifer Lynn Machuca, M.D.

  • Family Medicine Physician
  • Huber Heights, OH
National Provider Identifier
1669694246
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.092123 Issued in OH
Practice address
8648 Old Troy Pike
Ste a
Huber Heights, OH 45424-1057
Phone
(937) 795-1101
Fax
(937) 795-1120
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.092123 OH Primary

Addresses

Primary practice location

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

Mailing address

8648 Old Troy Pike Ste a
Huber Heights, OH 45424-1057
Phone (937) 795-1101

Other identifiers 4

IdentifierTypeStateIssuer
0193739MedicaidOH
2893301MedicaidOH
1053861369OtherGROUP NPI
CS1721200145MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL support@machucamedical.com Other
CONNECT URL Clinisync Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090224000314 OH Practitioner - Family Practice 9537224654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Ohio, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7371 Brandt Pike
Suite D
Huber Heights, OH 45424-3276
Phone (937) 795-1101

Hospital & facility affiliations

  • Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Taj Medical Inc Past Accepting new patients
Citran Xray LLC Past Accepting new patients
Reddy Family Practice Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.machuca@mml-oh.direct.office.nextgen.com
  • Direct secure messaging: jennifer.machuca.1@30125.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1669694246",
    "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",
            "address_2": "STE A",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241057",
            "telephone_number": "937-795-1101",
            "fax_number": "937-795-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHUCA",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.092123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193739",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2893301",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1053861369",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CS1721200145",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "support@machucamedical.com",
            "affiliation": "N",
            "endpointDescription": "office and mailing address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "office location, mailing, phone and fax",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office mailing, phone and fax",
            "address_1": "8648 Old Troy Pike",
            "address_2": "Ste A",
            "city": "Huber Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454241057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Clinisync",
            "affiliation": "N",
            "endpointDescription": "health info exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3455 Mill Run Dr Ste 315",
            "city": "Hilliard",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430269491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

Verify at the official NPI Registry.