Individual provider Active NPI

William R Hammons, M.D.

  • Family Medicine Physician
  • Bellevue, KY
National Provider Identifier
1457399024
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37988 Issued in KY
Practice address
119 Fairfield Ave
Suite R102
Bellevue, KY 41073-1184
Phone
(859) 431-0090
Fax
(859) 431-3168
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group Inc 803 clinicians

Practice addresses (Care Compare)

119 Fairfield Ave
Bellevue, KY 41073-1184
Phone (859) 431-0090

Hospital & facility affiliations

  • St Elizabeth Home Care Home health agency, Florence, KY, CCN 187075
  • St Elizabeth Ft Thomas Hospital, Fort Thomas, KY, CCN 180001
  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20051027001121 KY Practitioner - Family Practice 1153220090 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37988KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Jan 1, 2010 Accepting new patients
Summit Medical Group, Inc Family Medicine CurrentSince Jan 1, 2010 Accepting new patients
Cincinnati Health Care Group PSC Past Accepting new patients
Columbia Medical Group-Southern Hills Inc Family Medicine Past Accepting new patients
St Elizabeth Medical Center, Inc Past Accepting new patients

Locations

119 Fairfield Ave
Ste R102
Bellevue, KY 41073
Phone (859) 431-0090

119 Fairfield Ave
Bellevue, KY 41073
Phone (859) 431-0090

103 Landmark Dr
Ste 100
Bellevue, KY 41073
Phone (606) 431-0090

6159 1st Financial Dr
Burlington, KY 41005
Phone (859) 301-9394

125 Saint Michael Dr
Cold Spring, KY 41076
Phone (859) 441-3120

351 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 572-2000

340 Thomas More Pkwy
#160
Crestview Hills, KY 41017

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

Interoperability endpoints

  • Direct secure messaging: whammons5681@direct-prd.stelizabeth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37988 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

119 Fairfield Ave
Suite R102
Bellevue, KY 41073-1184

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 431-0090

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
P00253099OtherKYRAILROAD MEDICARE
P00856614OtherKYRAILROAD MEDICARE
2604364MedicaidOH
64107584MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2018.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1457399024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-431-0090",
            "fax_number": "859-431-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 FAIRFIELD AVE",
            "address_2": "SUITE R102",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731184",
            "telephone_number": "859-431-0090",
            "fax_number": "859-431-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMONS",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "37988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00253099",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00856614",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2604364",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64107584",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, KY

Sources for this page

Verify at the official NPI Registry.