James Dow Reboulet, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35-03-2677-R Issued in OH

Practice address

903 NW Washington Blvd Ste a
Hamilton, OH 45013-6367

Phone

(513) 454-1111

Fax

(513) 737-1592

NPI assigned

Sep 26, 2006

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Butler County Community Health Consortium Inc

  • Primary Care Clinic/Center
  • Hamilton, OH
  • NPI 1487677985
  NPD
• Butler County Community Health Consortium Inc

  • Federally Qualified Health Center (FQHC)
  • Hamilton, OH
  • NPI 1548585953
  NPD
• Butler County Community Health Consortium, Inc.

  dba Primary Health Solutions

  • Federally Qualified Health Center (FQHC)
  • Fairfield Township, OH
  • NPI 1073322616
  NPD
• Butler County Community Health Consortium, Inc.

  dba Primary Health Solutions

  • Primary Care Clinic/Center
  • Fairfield, OH
  • NPI 1124578604
  NPD
• Butler County Community Health Consortium, Inc.

  dba Primary Health Solutions

  • Federally Qualified Health Center (FQHC)
  • Middletown, OH
  • NPI 1528828696
  NPD
• Butler County Community Health Consortium, Inc.

  dba Primary Health Solutions

  • Federally Qualified Health Center (FQHC)
  • Hamilton, OH
  • NPI 1871043356
  NPD
• Butler County Community Health Consortium Inc

  • Primary Care Clinic/Center
  • Middletown, OH
  • NPI 1134142631
  NPD (past)
• Butler County Community Health Consortium, Inc.

  dba Primary Health Solutions

  • Federally Qualified Health Center (FQHC)
  • Oxford, OH
  • NPI 1780346965
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1639270192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HIGH ST FL 4",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450116078",
            "telephone_number": "513-454-1460",
            "fax_number": "513-863-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 NW WASHINGTON BLVD STE A",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136367",
            "telephone_number": "513-454-1111",
            "fax_number": "513-737-1592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450112811",
            "country_code": "US",
            "telephone_number": "513-454-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REBOULET",
        "first_name": "JAMES",
        "middle_name": "DOW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-03-2677-R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0314118",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.reboulet.p5@direct.phs.nextgenshare.com",
            "affiliation": "N",
            "address_1": "210 S 2nd St",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450112811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Doretha Ray, LCDC III
• Corinne Leilani Ray, R.N.
• Gary L Ray, M.D.
• Melissa Jane Ray
• Chris E Readnower, PTA
• Emily R Reckner, LCDCIII
• Ronald Reckner
• Beth Marie Reddix, MSN FNP-C
• Erin Redle, PHD CCC-SLP
• Ashley Reece

• Obstetrics & Gynecology Physician in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.