Active NPI
Craig B. Willis, M.D.
- Orthopaedic Surgery Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35-078249
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2271198 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hand 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
- Mercy Health - Fairfield Hospital
- Mercy Health-Anderson Hospital
- Mercy Health Kings Mills Hospital LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-078249 | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati Specialty Care LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Mercy Health Physicians Cincinnati LLC | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati, LLC | Orthopaedic Surgery | Current | 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
- 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.
-
- Surgery Physician
- Blue Ash, OH
- NPI 1154942795
Orthopaedic Surgery
-
- Durable Medical Equipment & Medical Supplies
- Liberty Township, OH
- NPI 1790281517
-
- Durable Medical Equipment & Medical Supplies
- Liberty TWP, OH
- NPI 1730993270
-
- Family Medicine Physician
- Blue Ash, OH
- NPI 1205887023
Orthopaedic Surgery
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Cincinnati, OH
- NPI 1861450017
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1235239211
-
- General Acute Care Hospital
- Fairfield, OH
- NPI 1467552471
-
- General Acute Care Hospital
- Mason, OH
- NPI 1790469146
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.