Individual provider Active NPI

Edward I Nelson, MD

  • Pain Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1720085459
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
35092154 Issued in OH
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

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2889352MedicaidOH

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
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
Dayton Pain Center LLCGroup PAC ID 8123922887, 10 clinicians

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 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.092154OHMDAnesthesiology Physician
35092154OHMDPain Medicine Physician
34587KYMDInterventional Pain Medicine Physician
35-092154OHMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Pain Center LLC CurrentSince Apr 5, 2018 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.

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

Verify at the official NPI Registry.