Individual provider Active NPI

David Gene Wilson, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1750394730
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OH35041320 Issued in OH
Practice address
8000 Five Mile Road
Suite 320
Cincinnati, OH 45230
Phone
(513) 232-6900
Fax
(513) 232-8600
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OH35041320 OH Primary

Addresses

Primary practice location

8000 Five Mile Road
Suite 320
Cincinnati, OH 45230

Mailing address

8000 Five Mile Road
Suite 320
Cincinnati, OH 45230
Phone (513) 232-6900

Other identifiers 2

IdentifierTypeStateIssuer
0987464MedicaidOH
0395639MedicaidOH

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
I20100607000001 OH Practitioner - Internal Medicine 9537192315 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OH35041320OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Hills Internal Medicine Inc Internal Medicine CurrentSince Aug 1, 1994 Accepting new patients

Locations

1060 Nimitzview Dr
Ste 210
Cincinnati, OH 45230
Phone (513) 232-3500

8000 5 Mile Rd
Ste 320
Cincinnati, OH 45230
Phone (513) 232-6900

Organizations & group practices 1

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1750394730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 FIVE MILE ROAD",
            "address_2": "SUITE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45230",
            "telephone_number": "513-232-6900",
            "fax_number": "513-232-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 FIVE MILE ROAD",
            "address_2": "SUITE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45230",
            "telephone_number": "513-232-6900",
            "fax_number": "513-232-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DAVID",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "OH35041320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0987464",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0395639",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.