Individual provider Active NPI

Craig B. Willis, M.D.

  • Orthopaedic Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1346276136
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35-078249 Issued in OH
Practice address
4750 E Galbraith Rd
Suite 105
Cincinnati, OH 45236-6705
Phone
(513) 981-6784
Fax
(513) 853-4078
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35-078249 OH Primary
Orthopaedic Hand Surgery Physician 207XS0106X 35-078249 OH

Addresses

Primary practice location

4750 E Galbraith Rd
Suite 105
Cincinnati, OH 45236-6705

Mailing address

3301 Mercy Health Blvd
Ste 450
Cincinnati, OH 45211-1106
Phone (513) 981-4263

Other identifiers 1

IdentifierTypeStateIssuer
2271198MedicaidOH

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
I20031114000566 OH Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 0840104741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
University of Michigan Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7575 5 Mile Rd
Cincinnati, OH 45230-4346
Phone (513) 347-9999

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-078249OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Oct 1, 2010 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Orthopaedic Surgery CurrentSince Oct 1, 2010 Accepting new patients
Major Hospital Past Accepting new patients
Freiberg Orthopaedics & Sports Medicine Past Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

8250 Kenwood Crossing Way
Ste 200
Cincinnati, OH 45236
Phone (513) 221-5210

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

4750 E Galbraith Rd
Ste 105
Cincinnati, OH 45236
Phone (513) 745-9787

7575 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-4360

3301 Mercy Health Blvd
Ste 450
Cincinnati, OH 45211
Phone (513) 215-5000

3050 Mack Rd
Ste 200
Fairfield, OH 45014
Phone (513) 860-4722

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: cwillis14677@direct.bsmhealth.org

Organizations & group practices 6

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1346276136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 MERCY HEALTH BLVD",
            "address_2": "STE 450",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111106",
            "telephone_number": "513-981-4263",
            "fax_number": "513-215-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 E GALBRAITH RD",
            "address_2": "SUITE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366705",
            "telephone_number": "513-981-6784",
            "fax_number": "513-853-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "CRAIG",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35-078249",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "35-078249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2271198",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.