Active NPI
Robert Joseph Goulet III, M.D.
- Ophthalmology Physician
- Blue Ash, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35120369
- Practice address
- 1945 Cei Dr
Blue Ash, OH 45242-5664 - Phone
- (513) 984-5133
- Fax
- (513) 569-3941
- NPI assigned
- Jun 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 11013262A | IN | |
| Ophthalmology Physician | 207W00000X | 01069548A | IN | |
| Ophthalmology Physician | 207W00000X | TP 754 | KY | |
| Ophthalmology Physician | 207W00000X | 35120369 | OH | Primary |
Addresses
Primary practice location
1945 Cei Dr
Blue Ash, OH 45242-5664
Mailing address
1945 Cei Dr
Blue Ash, OH 45242-5664
Phone (513) 984-5133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Indiana University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1945 Cei Dr
Blue Ash, OH 45242-5664
Phone 51398451333741
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000
Hospital & facility affiliations
- University of Cincinnati Medical Center, LLC
- Atrium Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 65.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.01
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 167 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01069548A | IN | MD | Ophthalmology Physician |
| 11013262A | IN | MD | Ophthalmology Physician |
| TP 754 | KY | MD | Ophthalmology Physician |
| 35120369 | OH | MD | Ophthalmology Physician |
Practice roles (4 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Physicians Company, LLC | Current | Accepting new patients | |
| Cei Physicians PSC LLC | Ophthalmology | Current | Accepting new patients |
| Cei Physicians PSC, LLC | Current | Accepting new patients | |
| Cei Physicians PSC LLC | Past | Accepting new patients |
Locations
1945 Cei Dr
Blue Ash, OH 45242
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
5850 Innovation Dr
Middletown, OH 45005
Phone 5134259796 ext. 59796
Networks
- KY PPO C-SNP
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- OH PPO
- KY PPO
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
Interoperability endpoints
- robert.gouletiii.p1@direct.cei.nextgenshare.com
- rgoulet53710@direct.uchealth.com
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Cincinnati, OH
- NPI 1942296298
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
-
- Ambulatory Surgical Clinic/Center
- Richmond Heights, OH
- NPI 1891406328
-
- Ophthalmologic Surgery Clinic/Center
- Blue Ash, OH
- NPI 1790772804
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1003078726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 CEI DR",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452425664",
"telephone_number": "513-984-5133",
"fax_number": "513-569-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 CEI DR",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452425664",
"telephone_number": "513-984-5133",
"fax_number": "513-569-3941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULET",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-25",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "11013262A",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01069548A",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KY",
"license": "TP 754",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35120369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.