Walter Edmund Donnelly, M.D.
Individual provider Active NPI Family Medicine Physician · Cincinnati, OH
NPI 1730142407 · NPPES record last updated Aug 18, 2010
Key facts
- NPI
- 1730142407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35050668 (OH)
- Practice address
- 6331 Glenway Avenue
Cincinnati, OH 45211 - Phone
- (513) 389-1400
- Fax
- (513) 347-2119
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 12
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- JS Weill Medical College, Cornell University, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Christ Hospital Medical Associates, LLC
Practice addresses (Care Compare)
2123 Auburn Ave
Cincinnati, OH 45219-2906
2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2000
3248 Westbourne Dr
Cincinnati, OH 45248-5140
Phone (513) 674-1400
3260 Westbourne Dr
Cincinnati, OH 45248-5107
Phone (513) 674-1400
Hospital & facility affiliations
- The Christ Hospital Home Health Care
- Bella Care Hospice
- Hospice of Cincinnati, Inc
- Christ Hospital
- Good Samaritan Hospital
- Mercy Health - West Hospital
- Venetian Gardens
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Venetian Gardens |
Skilled nursing facility | Adp of the SNF | Jun 1, 2018 |
| The Laurels of Milford |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050816000980 | OH | Practitioner - Family Practice | 7315833381 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35050668 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Christ Hospital Medical Associates, LLC | Family Medicine | Current |
Accepting new patients |
| Trihealth G LLC | Family Medicine | Current |
Accepting new patients |
| Trihealth G, LLC | Current |
Accepting new patients | |
| The Laurels of Milford, LLC | Past | Accepting new patients | |
| CHS - Goshen, Inc. | Past | Accepting new patients | |
| The Family Medical Group, LLC | Family Medicine | Past | Accepting new patients |
Locations
6331 Glenway Ave
Cincinnati, OH 45211
Phone (513) 389-1400
2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833
3248 Westbourne Dr
Cincinnati, OH 45248
Phone (513) 389-1400
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
3260 Westbourne Dr
Cincinnati, OH 45248
Phone (513) 389-1400
425 Farrell Ct
Cincinnati, OH 45233
Phone (513) 451-6871
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
5861 Cinema Dr
Milford, OH 45150
Phone (513) 248-8800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35050668 | OH | Yes |
Addresses
Primary practice location
6331 Glenway Avenue
Cincinnati, OH 45211
Mailing address
P.O. Box 706152
Cincinnati, OH 45270-6152
Phone (513) 619-5014
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0594987 | Medicaid | OH |
Other providers in Cincinnati, OH
- Amy E Donnellon
- Nicole Donnellon
- Ann Donnelly
- David Donnelly
- Shelby Donnelly
- Emilie Christine Donohoe
- Melissa Donohoo
- Jessica James Donohue
- Madison Rachel Donohue
- Shane Patrick Donohue
All providers in Cincinnati, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.