Individual provider Active NPI

Justin Wolfer, RD

  • Registered Dietitian
  • Cincinnati, OH
National Provider Identifier
1255021622
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.10115 Issued in OH
Practice address
3219 Clifton Ave Ste 300
Cincinnati, OH 45220-3045
Phone
(513) 862-4957
Fax
(513) 862-4952
NPI assigned
May 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X LD.10115 OH
Registered Dietitian 133V00000X LD.10115 OH Primary
Registered Dietitian 133V00000X 5596 TN

Addresses

Primary practice location

3219 Clifton Ave Ste 300
Cincinnati, OH 45220-3045

Mailing address

3219 Clifton Ave Ste 300
Cincinnati, OH 45220-3045
Phone (513) 862-4957

Other practice location 1

222 Piedmont Ave
Cincinnati, OH 45219-4231
Phone (513) 475-7400

Other practice location 2

1607 Westgate Cir Ste 200
Brentwood, TN 37027-8077
Phone (617) 376-8195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231023001500 OH Practitioner - Registered Dietitian Or Nutrition Professional 7719333095 Reassigns benefits to 2 organizations
I20260227000742 TN Practitioner - Registered Dietitian Or Nutrition Professional 7719333095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

1607 Westgate Cir
Suite 200
Brentwood, TN 37027-8077
Phone (615) 376-8195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD.10115OHMDRegistered Dietitian
5596TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Feb 18, 2026 Accepting new patients
University of Cincinnati Physicians Company, LLC Endocrinology, Diabetes & Metabolism CurrentSince Sep 3, 2023 Accepting new patients
Trihealth H LLC Endocrinology, Diabetes & Metabolism CurrentSince Jun 24, 2024 Accepting new patients
University of Cincinnati Medical Center, LLC Current Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 18, 2026 Accepting new patients

Locations

3219 Clifton Ave
Ste 300
Cincinnati, OH 45220
Phone (513) 751-3668

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

3219 Clifton Ave
Ste 305
Cincinnati, OH 45220
Phone (513) 346-1270

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

3200 Burnet Ave
#2
Cincinnati, OH 45229
Phone (513) 585-5505

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

1607 Westgate Cir
Ste 200
Brentwood, TN 37027
Phone (615) 376-8195

109 Del Rio Pike
Franklin, TN 37064
Phone (615) 432-3854

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

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.

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1255021622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 CLIFTON AVE STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452203045",
            "telephone_number": "513-862-4957",
            "fax_number": "513-862-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CLIFTON AVE STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452203045",
            "telephone_number": "513-862-4957",
            "fax_number": "513-862-4952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Piedmont Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452194231",
            "country_code": "US",
            "telephone_number": "513-475-7400",
            "fax_number": "513-475-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1607 Westgate Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370278077",
            "country_code": "US",
            "telephone_number": "617-376-8195",
            "fax_number": "833-464-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFER",
        "first_name": "JUSTIN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-10",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "LD.10115",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.10115",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "5596",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 18, 2026; 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.