Active NPI
William Ellis Tucker, MD
- Emergency Medicine Physician
- Fairfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.061655CTR
- Practice address
- 5108 Sandy LN
Fairfield, OH 45014-2738 - Phone
- (833) 510-4357
- NPI assigned
- Jun 6, 2006
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME133220 | FL | |
| Emergency Medicine Physician | 207P00000X | CDR.0003908 | CO | |
| Emergency Medicine Physician | 207P00000X | R4489 | TX | |
| Emergency Medicine Physician | 207P00000X | 99928 | GA | |
| Emergency Medicine Physician | 207P00000X | 49303 | KY | |
| Emergency Medicine Physician | 207P00000X | 036170034 | IL | |
| Emergency Medicine Physician | 207P00000X | 35.061655CTR | OH | Primary |
Addresses
Primary practice location
5108 Sandy LN
Fairfield, OH 45014-2738
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Other practice location 1
3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone (513) 215-1222
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000317866 | Other | BCBS | |
| 000000380633 | Other | OH | ANTHEM/BCBS |
| 0826324 | Medicaid | OH | |
| 000000377119 | Other | OH | ANTHEM/BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- New York Medical College, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1505 N Cole St
Lima, OH 45801-2432
Phone (833) 510-4357
Hospital & facility affiliations
- Mercy Health - West Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.9 of 100
- Quality
- 91.17
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME133220 | FL | MD | Emergency Medicine Physician |
| 99928 | GA | MD | Emergency Medicine Physician |
| 036170034 | IL | MD | Emergency Medicine Physician |
| 35.061655CTR | OH | MD | Emergency Medicine Physician |
| R4489 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | General Practice | Current | Accepting new patients |
| Emergency Medicine Physicians of Cincinnati, LTD. | Emergency Medicine | Current | Accepting new patients |
| Brightview LLC | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Signify Health, LLC | General Practice | Current | Accepting new patients |
| Mercy Emergency Care Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Theoria Medical | Current | Accepting new patients | |
| Brightview LLC | Current | Accepting new patients | |
| Brightview, LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Fairfield Hospitalists Inc | Past | Accepting new patients | |
| Erie Emergency Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
| Lucas County Emergency Physicians Inc | Emergency Medicine | Past | Accepting new patients |
Locations
7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
1100 Hospital Dr
Batavia, OH 45103
Phone (513) 732-6001
6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000
3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114
446 Morgan St
Cincinnati, OH 45206
Phone (513) 834-0763
4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
5108 Sandy Ln
Fairfield, OH 45014
Phone (513) 234-5959
421 Home St
Georgetown, OH 45121
Phone (937) 378-7510
1505 N Cole St
Lima, OH 45801
Phone (866) 538-2161
730 W Market St
Lima, OH 45801
Phone (419) 226-4310
4483 US N 42
Mason, OH 45040
Phone (513) 536-0050
2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200
601 US Route 224
Ottawa, OH 45875
Phone (419) 228-8950
1830 W High St
Piqua, OH 45356
Phone (330) 299-9421
1405 11th St
Portsmouth, OH 45662
Phone (740) 354-7718
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
485 W Main St
Wilmington, OH 45177
Phone (866) 656-6514
1030 High St
Worthington, OH 43085
Phone (614) 876-7356
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 13
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.
-
- Addiction Medicine (Internal Medicine) Physician
- Cincinnati, OH
- NPI 1659769446
-
- Emergency Medicine Physician
- Cincinnati, OH
- NPI 1922483213
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1477957819
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Psychiatry Physician
- Cincinnati, OH
- NPI 1518622489
-
- Addiction Medicine (Internal Medicine) Physician
- Asheboro, NC
- NPI 1962163782
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
-
- Emergency Medicine Physician
- Oregon, OH
- NPI 1831130335
-
- Internal Medicine Physician
- Fairfield, OH
- NPI 1508900226
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1912007931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1316986805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5108 SANDY LN",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450142738",
"telephone_number": "833-510-4357"
}
],
"practiceLocations": [
{
"address_1": "3300 Mercy Health Blvd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452111103",
"country_code": "US",
"telephone_number": "513-215-1222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "WILLIAM",
"middle_name": "ELLIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME133220",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "CDR.0003908",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "R4489",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "99928",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "49303",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036170034",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.061655CTR",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000317866",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM/BCBS",
"identifier": "000000380633",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0826324",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM/BCBS",
"identifier": "000000377119",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.