Individual provider Active NPI

Ralph E Wesley, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Nashville, TN
National Provider Identifier
1679521918
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
MD11991 Issued in TN
Practice address
1800 Church St
Suite 100
Nashville, TN 37203-2233
Phone
(615) 329-3624
Fax
(615) 329-0639
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD011991 TN
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MD11991 TN Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 17995 KY

Addresses

Primary practice location

1800 Church St
Suite 100
Nashville, TN 37203-2233

Mailing address

1800 Church St
Suite 100
Nashville, TN 37203-2208
Phone (615) 329-3624

Other identifiers 1

IdentifierTypeStateIssuer
3161564OtherTNBCBS PROVIDER ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100920000612 TN Practitioner - Ophthalmology 9830172998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.57 of 100Reported as group
Quality
82.67
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD011991TNMDOphthalmology Physician
MD11991TNMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Retina PC Ophthalmology CurrentSince Apr 1, 2014 Accepting new patients
Wesley & Klippenstein, PC CurrentSince Oct 1, 1982 Accepting new patients

Locations

1332 Andrea St
Bowling Green, KY 42104
Phone (270) 791-3716

1800 Church St
Ste 100
Nashville, TN 37203
Phone (615) 329-3624

Interoperability endpoints

  • Direct secure messaging: ralph.wesley.p1@direct.wesley.nextgenshare.com

Organizations & group practices 3

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1679521918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CHURCH ST",
            "address_2": "SUITE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032208",
            "telephone_number": "615-329-3624",
            "fax_number": "615-329-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CHURCH ST",
            "address_2": "SUITE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032233",
            "telephone_number": "615-329-3624",
            "fax_number": "615-329-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "RALPH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD011991",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "MD11991",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "KY",
            "license": "17995",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID#",
            "identifier": "3161564",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.