Individual provider Active NPI

Samuel Russell Vester, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Cincinnati, OH
National Provider Identifier
1629008628
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35.061926 Issued in OH
Practice address
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone
(513) 475-8787
Fax
(513) 929-7239
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35061926V OH
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35.061926 OH Primary
Surgery Physician 208600000X 29644 KY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 29644 KY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35061926V OH

Addresses

Primary practice location

3188 Bellevue Ave
Cincinnati, OH 45219-2369

Mailing address

4750 E Galbraith Rd Ste 215
Cincinnati, OH 45236-6706
Phone (513) 421-3494

Other practice location 1

4750 E Galbraith Rd Ste 215
Cincinnati, OH 45236-6706
Phone (513) 421-3494

Other identifiers 8

IdentifierTypeStateIssuer
310804060033OtherCARESOURCE
1820066OtherUNITED HEALTHCARE
8330OtherKY BCBS
0840862MedicaidOH
64296445MedicaidKY
000000005014OtherANTHEM
61926OtherCHOICE CARE/HUMANA
200058070BMedicaidIN

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
I20111208000472 OH Practitioner - Thoracic Surgery 2668361148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Cincinnati College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.061926OHMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35061926VOHMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
University of Cincinnati Physicians Company, LLC Surgery CurrentSince Aug 22, 2023 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Surgery CurrentSince Sep 1, 2021 Accepting new patients
University of Cincinnati Medical Center, LLC Past Accepting new patients

Locations

4750 E Galbraith Rd
Ste 215
Cincinnati, OH 45236
Phone (513) 891-5610

4101 Edwards Rd
Fl 2
Cincinnati, OH 45209
Phone (513) 981-4646

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

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

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

222 Piedmont Ave
Ste 1000
Cincinnati, OH 45219
Phone (513) 584-0977

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

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

Organizations & group practices 4

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1629008628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 E GALBRAITH RD STE 215",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366706",
            "telephone_number": "513-421-3494",
            "fax_number": "513-345-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 BELLEVUE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192369",
            "telephone_number": "513-475-8787",
            "fax_number": "513-929-7239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 E Galbraith Rd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452366706",
            "country_code": "US",
            "telephone_number": "513-421-3494",
            "fax_number": "513-345-2606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VESTER",
        "first_name": "SAMUEL",
        "middle_name": "RUSSELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35061926V",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35.061926",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "29644",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "29644",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35061926V",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "310804060033",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1820066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY BCBS",
            "identifier": "8330",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0840862",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64296445",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000005014",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICE CARE/HUMANA",
            "identifier": "61926",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200058070B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.