NPIMap

Individual provider Active NPI

James R Ouellette, DO

  • Surgical Oncology Physician
  • Centerville, OH
National Provider Identifier
1245288422
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
340073869 Issued in OH
Practice address
2300 Miami Valley Dr Ste 350
Centerville, OH 45459-1294
Phone
(937) 424-2469
Fax
(937) 438-8615
NPI assigned
May 4, 2006
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34007386 OH
Surgical Oncology Physician 2086X0206X 340073869 OH Primary

Addresses

Primary practice location

2300 Miami Valley Dr Ste 350
Centerville, OH 45459-1294

Mailing address

3170 Kettering Blvd BLDG B2
Moraine, OH 45439-1924

Other identifiers 1

IdentifierTypeStateIssuer
2192550MedicaidOH

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
I20031126000753 OH Practitioner - Surgical OncologyPractitioner - General SurgeryPractitioner - Family Practice 7012812456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

2300 Miami Valley Dr
Suite 350
Centerville, OH 45459-1294
Phone (937) 424-2469

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision38
Removal of tissue1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34007386OHMDSurgery Physician
340073869OHMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc Surgery Current Accepting new patients
Premier Health Specialists Inc CurrentSince Jul 1, 2018 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Nov 13, 2010 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Nov 13, 2010 Accepting new patients
Premier Health Specialists Inc CurrentSince Jul 1, 2018 Accepting new patients
Miami Valley Hospital Past Accepting new patients
Upper Valley Professional Corporation PastSince Mar 23, 2020 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

2300 Miami Valley Dr
Ste 350
Dayton, OH 45459
Phone (937) 424-2469

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

300 Forest Ave
Ste 101
Dayton, OH 45405
Phone (937) 531-7104

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

3170 Kettering Blvd
Bldg B2
Moraine, OH 45439

3170 Kettering Blvd
Bldg B3
Moraine, OH 45439
Phone (937) 991-3188

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 8

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

Hospital & facility affiliations 6

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1245288422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B2",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MIAMI VALLEY DR STE 350",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454591294",
            "telephone_number": "937-424-2469",
            "fax_number": "937-438-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34007386",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "OH",
            "license": "340073869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2192550",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.