Individual provider Active NPI

James B. Willis, M.D.

  • Orthopaedic Hand Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1437185220
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
35-029649 Issued in OH
Practice address
4700 E Galbraith Rd # 300a
Cincinnati, OH 45236-2754
Phone
(513) 347-9999
Fax
(513) 686-4217
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 35-029649 OH Primary

Addresses

Primary practice location

4700 E Galbraith Rd # 300a
Cincinnati, OH 45236-2754

Mailing address

4700 E Galbraith Rd # 300a
Cincinnati, OH 45236-2754
Phone (513) 347-9999

Other practice location 1

4750 E Galbraith Rd
Suite 105
Cincinnati, OH 45236-6705
Phone (513) 981-6784

Other identifiers 1

IdentifierTypeStateIssuer
0138934MedicaidOH

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
I20031113000139 OH Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 8224942479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
University of Michigan Medical School, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4701 Creek Rd
Suite 110
Blue Ash, OH 45242-8330
Phone (513) 347-9999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-029649OHMDOrthopaedic Hand Surgery Physician

Practice roles

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

Locations

4701 Creek Rd
Ste 110
Blue Ash, OH 45242
Phone (513) 733-8894

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

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

4700 E Galbraith Rd
Ste 300A
Cincinnati, OH 45236
Phone (513) 924-1370

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

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

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

Interoperability endpoints

  • Direct secure messaging: jwillis14678@direct.bsmhealth.org

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.

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": "1646611200000",
    "number": "1437185220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 E GALBRAITH RD # 300A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362754",
            "telephone_number": "513-347-9999",
            "fax_number": "513-686-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 E GALBRAITH RD # 300A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362754",
            "telephone_number": "513-347-9999",
            "fax_number": "513-686-4217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 E Galbraith Rd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452366705",
            "country_code": "US",
            "telephone_number": "513-981-6784",
            "fax_number": "513-853-4078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JAMES",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "35-029649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138934",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.