Individual provider Active NPI

Samantha Jo Yelley, DO

  • Emergency Medicine Physician
  • Batavia, OH
National Provider Identifier
1386050375
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
32.012085 Issued in OH
Practice address
3000 Hospital Dr
Batavia, OH 45103-1921
Phone
(513) 732-8200
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 58.005360 OH
Emergency Medicine Physician 207P00000X 24596 MS
Emergency Medicine Physician 207P00000X 32.012085 OH Primary

Addresses

Primary practice location

3000 Hospital Dr
Batavia, OH 45103-1921

Mailing address

1011 Prestwick PL
Cincinnati, OH 45245-3374
Phone (740) 352-8394

Other practice location 1

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 296-3600

Other practice location 2

1805 27th St
Portsmouth, OH 45662-2640
Phone (740) 356-5000

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
I20180423001711 OH Practitioner - Emergency Medicine 7517220718 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holzer Clinic LLCGroup PAC ID 5890606008, 266 clinicians

Practice addresses (Care Compare)

500 Burlington Rd
Jackson, OH 45640-9360
Phone (740) 395-8420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
84.27 of 100Reported as group
Quality
68.56
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24596MSMDEmergency Medicine Physician
32.012085OHMDEmergency Medicine Physician
58.005360OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Holzer Clinic, LLC CurrentSince Nov 1, 2022 Accepting new patients
Epmg of Ohio Inc P a Emergency Medicine CurrentSince Jul 15, 2023 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Emergency Medicine Physicians of Cincinnati, LTD. Emergency Medicine CurrentSince May 1, 2018 Accepting new patients

Locations

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

100 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5050

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

500 Burlington Rd
Jackson, OH 45640
Phone (740) 288-4625

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

Organizations & group practices 5

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1386050375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 PRESTWICK PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452453374",
            "telephone_number": "740-352-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031921",
            "telephone_number": "513-732-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 Hardy St",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394021308",
            "country_code": "US",
            "telephone_number": "601-296-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 27th St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456622640",
            "country_code": "US",
            "telephone_number": "740-356-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YELLEY",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "58.005360",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "24596",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "32.012085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, OH

Sources for this page

Verify at the official NPI Registry.