Individual provider Active NPI

William Ellis Tucker, MD

  • Emergency Medicine Physician
  • Fairfield, OH
National Provider Identifier
1316986805
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.061655CTR Issued in OH
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

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000317866OtherBCBS
000000380633OtherOHANTHEM/BCBS
0826324MedicaidOH
000000377119OtherOHANTHEM/BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, CO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040126000831 OH Practitioner - Emergency Medicine 6608778972 Reassigns benefits to 4 organizations
I20160923001824 KY Practitioner - Emergency Medicine 6608778972 Reassigns benefits to 1 organization
I20240808002998 CO Practitioner - Emergency Medicine 6608778972 Reassigns benefits to 1 organization

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
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

1505 N Cole St
Lima, OH 45801-2432
Phone (833) 510-4357

Hospital & facility affiliations

  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234

Merit-based Incentive Payment System (MIPS)

Final score
96.9 of 100Reported as group
Quality
91.17
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME133220FLMDEmergency Medicine Physician
99928GAMDEmergency Medicine Physician
036170034ILMDEmergency Medicine Physician
35.061655CTROHMDEmergency Medicine Physician
R4489TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC General Practice CurrentSince May 27, 2024 Accepting new patients
Emergency Medicine Physicians of Cincinnati, LTD. Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Brightview LLC CurrentSince Oct 3, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Signify Health, LLC General Practice CurrentSince Mar 29, 2022 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Apr 15, 2015 Accepting new patients
Theoria Medical CurrentSince Jan 10, 2023 Accepting new patients
Brightview LLC CurrentSince Oct 3, 2023 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.

View all 13

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.