NPIMap

Individual provider Active NPI

Walter Edmund Donnelly, M.D.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1730142407
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35050668 Issued in OH
Practice address
6331 Glenway Avenue
Cincinnati, OH 45211
Phone
(513) 389-1400
Fax
(513) 347-2119
NPI assigned
Apr 11, 2006
Last updated
Aug 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35050668 OH Primary

Addresses

Primary practice location

6331 Glenway Avenue
Cincinnati, OH 45211

Mailing address

P.O. Box 706152
Cincinnati, OH 45270-6152
Phone (513) 619-5014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050816000980 OH Practitioner - Family Practice 7315833381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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, LLCGroup PAC ID 0244314102, 270 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35050668OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
CHS - Goshen, Inc. Past Accepting new patients
The Family Medical Group, LLC Family Medicine Past Accepting new patients
The Laurels of Milford, LLC Past Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

3248 Westbourne Dr
Cincinnati, OH 45248
Phone (513) 389-1400

3260 Westbourne Dr
Cincinnati, OH 45248
Phone (513) 389-1400

425 Farrell Ct
Cincinnati, OH 45233
Phone (513) 451-6871

6331 Glenway Ave
Cincinnati, OH 45211
Phone (513) 346-1270

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

5861 Cinema Dr
Milford, OH 45150
Phone (513) 248-8800

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Venetian GardensLoveland, OH, CCN 366348 Skilled nursing facility Adp of the SNF Jun 1, 2018
The Laurels of MilfordMilford, OH, CCN 365443 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1730142407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 706152",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452706152",
            "telephone_number": "513-619-5014",
            "fax_number": "513-619-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 GLENWAY AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45211",
            "telephone_number": "513-389-1400",
            "fax_number": "513-347-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "WALTER",
        "middle_name": "EDMUND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35050668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.