Active NPI
Robert Stacy Wells, MD
- Anesthesiology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35079356W
- Practice address
- 7500 State Rd
Cincinnati, OH 45255-2439 - Phone
- (859) 341-7246
- Fax
- (859) 341-7867
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35079356W | OH | Primary |
Addresses
Primary practice location
7500 State Rd
Cincinnati, OH 45255-2439
Mailing address
20 Medical Village Dr
Suite 258
Edgewood, KY 41017-5401
Phone (859) 341-7246
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64259229 | Medicaid | KY | |
| 000000365663 | Other | ANTHEM BLUE SHIELD | |
| 200522800 | Medicaid | IN | |
| 7283490 | Other | AETNA | |
| 2572167 | Medicaid | OH | |
| 731345 | Other | BUCKEYE | |
| 614549 | Other | KY | WELLCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Kentucky College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4105 Emerald Pkwy
Dublin, OH 43016-3323
Phone (380) 898-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35079356W | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Southwest Ohio Anesthesia Consultants LLC | Anesthesiology | Current | Accepting new patients |
| Vituity-Ohio Anesthesia Inc | Anesthesiology | Current | Accepting new patients |
| Central Kentucky Anesthesia PSC | Anesthesiology | Past | Accepting new patients |
| Central Kentucky Anesthesia P.S.C. | Past | Accepting new patients | |
| Anesthesia Services Associates, PLLC | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
20 Medical Village Dr
Ste 258
Edgewood, KY 41017
Phone (606) 341-2666
3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209
L6147
Cincinnati, OH 45270
4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Interoperability endpoints
- rwells4099398@direct.trinity-health.org
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Dublin, OH
- NPI 1912705963
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
-
- Durable Medical Equipment & Medical Supplies
- Lexington, KY
- NPI 1376054213
-
- Certified Registered Nurse Anesthetist
- Lexington, KY
- NPI 1851474159
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1518083161
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1710752183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1053393660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MEDICAL VILLAGE DR",
"address_2": "SUITE 258",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410175401",
"telephone_number": "859-341-7246",
"fax_number": "859-341-7867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 STATE RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452552439",
"telephone_number": "859-341-7246",
"fax_number": "859-341-7867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "ROBERT",
"middle_name": "STACY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35079356W",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64259229",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "000000365663",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200522800",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7283490",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2572167",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE",
"identifier": "731345",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "614549",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.