Individual provider Active NPI

Steven Wunder, MD

  • Physical Medicine & Rehabilitation Physician
  • Crestview Hills, KY
National Provider Identifier
1750305207
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
22626 Issued in KY
Practice address
544 Centre View Blvd.
Crestview Hills, KY 41017-3400
Phone
(513) 221-1100
Fax
(859) 341-3913
NPI assigned
Jul 27, 2006
Last updated
May 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35.045267 OH
Physical Medicine & Rehabilitation Physician 208100000X 22626 KY Primary

Addresses

Primary practice location

544 Centre View Blvd.
Crestview Hills, KY 41017-3400

Mailing address

PO Box 643398
Cincinnati, OH 45264-3398
Phone (513) 221-1100

Other practice location 1

350 Thomas More Pkwy
Suite 160
Crestview Hills, KY 41017-5465
Phone (513) 221-1100

Other identifiers 1

IdentifierTypeStateIssuer
0514054MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040430000113 OH Practitioner - Physical Medicine and Rehabilitation 0547257537 Reassigns benefits to 1 organization
I20070717000476 KY Practitioner - Physical Medicine and Rehabilitation 0547257537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Cincinnati College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayfield Clinic IncGroup PAC ID 9133013006, 74 clinicians

Practice addresses (Care Compare)

3825 Edwards Rd
Suite 300
Cincinnati, OH 45209-1288
Phone (513) 221-1100

544 Centre View Blvd
Crestview Hills, KY 41017-3400
Phone (513) 221-1100

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.045267OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfield Clinic Inc Physical Medicine & Rehabilitation CurrentSince Feb 1, 2007 Accepting new patients
Mayfield Clinic Inc CurrentSince Feb 1, 2007 Accepting new patients
Koppenhoefer Wunder Ray MDS PastSince Oct 1, 1986 Accepting new patients

Locations

1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353

350 Thomas More Pkwy
Ste 160
Crestview Hills, KY 41017
Phone (859) 600-6990

544 Centre View Blvd
Crestview Hills, KY 41017

3825 Edwards Rd
Ste 300
Cincinnati, OH 45209

4020 Smith Rd
Cincinnati, OH 45209
Phone (513) 619-5899

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Interoperability endpoints

  • Direct secure messaging: steven.wunder@mayfield.eclinicaldirectplus.com
  • Direct secure messaging: swunder@1241.direct.myezyaccess.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1750305207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643398",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452643398",
            "telephone_number": "513-221-1100",
            "fax_number": "513-569-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 CENTRE VIEW BLVD.",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173400",
            "telephone_number": "513-221-1100",
            "fax_number": "859-341-3913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Thomas More Pkwy",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410175465",
            "country_code": "US",
            "telephone_number": "513-221-1100",
            "fax_number": "513-569-5297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUNDER",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35.045267",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "22626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0514054",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

Verify at the official NPI Registry.