Active NPI
Nathan Wiebracht, MD
- Otolaryngology Physician
- Fort Thomas, KY
National Provider Identifier
1649698770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 52371
- Practice address
- 40 N Grand Ave Ste 101
Fort Thomas, KY 41075-1765 - Phone
- (859) 781-4900
- NPI assigned
- Apr 5, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 57-024381 | OH | |
| Otolaryngic Allergy Physician | 207YX0602X | 52371 | KY | |
| Otolaryngology Physician | 207Y00000X | 52371 | KY | Primary |
Addresses
Primary practice location
40 N Grand Ave Ste 101
Fort Thomas, KY 41075-1765
Mailing address
368 Bielby Rd
Ste 140
Lawrenceburg, IN 47025-1067
Phone (859) 781-4900
Other practice location 1
231 Albert Sabin Way
Cincinnati, OH 45267-2827
Phone (513) 558-4198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Cincinnati College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
368 Bielby Rd
Suite 140
Lawrenceburg, IN 47025-1067
Phone (859) 781-4900
40 N Grand Ave
Suite 101
Fort Thomas, KY 41075-1765
Phone (859) 781-4900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57-024381 | OH | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head and Neck Surgery Associates, PSC | Current | Accepting new patients |
Locations
40 N Grand Ave
Ste 103
Fort Thomas, KY 41075
Phone (859) 572-3031
Organizations & group practices 2
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.
-
dba ENT & Allergy Specialists
- Otolaryngology Physician
- Fort Thomas, KY
- NPI 1760569545
IN
-
- Ambulatory Surgical Clinic/Center
- Florence, KY
- NPI 1396823381
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Elizabeth Florence
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
dba St Elizabeth Ft. Thomas
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
-
dba St Elizabeth Dearborn
- General Acute Care Hospital
- Lawrenceburg, IN
- NPI 1326142498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1649698770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 BIELBY RD",
"address_2": "STE 140",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "470251067",
"telephone_number": "859-781-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 N GRAND AVE STE 101",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751765",
"telephone_number": "859-781-4900"
}
],
"practiceLocations": [
{
"address_1": "231 Albert Sabin Way",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452672827",
"country_code": "US",
"telephone_number": "513-558-4198",
"fax_number": "513-558-5203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIEBRACHT",
"first_name": "NATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-05",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "57-024381",
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "KY",
"license": "52371",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "KY",
"license": "52371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.