Individual provider Active NPI

James Maurice Wellbaum II, M.D.

  • Family Medicine Physician
  • New Albany, OH
National Provider Identifier
1326481342
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.128079 Issued in OH
Practice address
5121 Forest Dr Ste D
New Albany, OH 43054-7102
Phone
(614) 933-9100
NPI assigned
Apr 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.128079 OH Primary

Addresses

Primary practice location

5121 Forest Dr Ste D
New Albany, OH 43054-7102

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other practice location 1

417 Hill Rd N
Ste 101
Pickerington, OH 43147-1310
Phone (614) 533-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160714002547 OH Practitioner - Family Practice 7618269499 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal MD, LLCGroup PAC ID 0648270017, 4 clinicians

Practice addresses (Care Compare)

5121 Forest Dr
Suite D
New Albany, OH 43054-7102
Phone (614) 933-9100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Urgent Care LLC CurrentSince Apr 1, 2020 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2016 Accepting new patients
Personal MD, LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

5121 Forest Dr
Ste D
New Albany, OH 43054
Phone (614) 476-1112

417 Hill Rd N
Ste 101
Pickerington, OH 43147
Phone (614) 533-6400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4869/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: james.wellbaum.1@4869.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1326481342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 FOREST DR STE D",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547102",
            "telephone_number": "614-933-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Hill Rd N",
            "address_2": "STE 101",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431471310",
            "country_code": "US",
            "telephone_number": "614-533-6400",
            "fax_number": "614-533-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLBAUM",
        "first_name": "JAMES",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.128079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.