Active NPI
Edward I Nelson, MD
- Pain Medicine Physician
- Cincinnati, OH
National Provider Identifier
1720085459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 35092154
- Practice address
- 7691 5 Mile Rd Ste 10
Suite 270
Cincinnati, OH 45230-4348 - Phone
- (937) 619-3616
- Fax
- (937) 949-4870
- NPI assigned
- Jul 7, 2005
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35.092154 | OH | |
| Anesthesiology Physician | 207L00000X | 34587 | KY | |
| Interventional Pain Medicine Physician | 208VP0014X | 34587 | KY | |
| Interventional Pain Medicine Physician | 208VP0014X | 35-092154 | OH | |
| Pain Medicine Physician | 208VP0000X | 35092154 | OH | Primary |
Addresses
Primary practice location
7691 5 Mile Rd Ste 10
Suite 270
Cincinnati, OH 45230-4348
Mailing address
PO Box 638938
Cincinnati, OH 45263-8938
Phone (937) 619-3616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2889352 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081115000088 | OH | Practitioner - Anesthesiology | 9931269388 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Loma Linda University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Elizabeth PL
Dayton, OH 45417-3445
Phone (937) 222-2233
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.092154 | OH | MD | Anesthesiology Physician |
| 35092154 | OH | MD | Pain Medicine Physician |
| 34587 | KY | MD | Interventional Pain Medicine Physician |
| 35-092154 | OH | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayton Pain Center LLC | Current | Accepting new patients | |
| Northstar Anesthesia of Kentucky, PLLC | Anesthesiology | Past | Accepting new patients |
| Lakota Medical, LLC | Past | Accepting new patients | |
| Central Illinois Associates LTD | Anesthesiology | Past | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Anesthesiology | Past | Accepting new patients |
Locations
1 Elizabeth Pl
Ste D
Dayton, OH 45417
Phone (937) 222-2233
331 6th Ave
Sidney, OH 45365
Phone (937) 222-2233
Organizations & group practices 5
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.
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-
- Pain Medicine (Anesthesiology) Physician
- Decatur, IL
- NPI 1558425462
Anesthesiology
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
Anesthesiology
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386938900
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1720085459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 638938",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452638938",
"telephone_number": "937-619-3616",
"fax_number": "937-949-4870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7691 5 MILE RD STE 10",
"address_2": "SUITE 270",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452304348",
"telephone_number": "937-619-3616",
"fax_number": "937-949-4870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "EDWARD",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35.092154",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "34587",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "KY",
"license": "34587",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OH",
"license": "35-092154",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "OH",
"license": "35092154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2889352",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.