Individual provider Active NPI

William J Faulkner, MD

  • Ophthalmology Physician
  • Covington, KY
National Provider Identifier
1821056706
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
31051 Issued in KY
Practice address
1401 Madison Ave
Covington, KY 41011-3313
Phone
(859) 655-6100
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35044577 OH
Ophthalmology Physician 207W00000X 31051 KY Primary

Addresses

Primary practice location

1401 Madison Ave
Covington, KY 41011-3313

Mailing address

1945 Cei Drive
Cincinnati, OH 45242-3311
Phone (513) 569-3741

Other practice location 1

1945 Cei Dr
Cincinnati, OH 45242-5664
Phone (513) 569-3741

Other identifiers 5

IdentifierTypeStateIssuer
0454360MedicaidOH
64783525MedicaidKY
000000021249OtherBCBS
100373630MedicaidIN
180026064OtherOHRAILROAD MEDICARE

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
I20100215000794 OH Practitioner - Ophthalmology 0244136943 Reassigns benefits to 1 organization
I20210721003903 KY Practitioner - Ophthalmology 0244136943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Louisville School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpoint Family Care, Inc.Group PAC ID 9638089642, 51 clinicians

Practice addresses (Care Compare)

1401 Madison Ave
Covington, KY 41011-3313
Phone (859) 655-6100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31051KYMDOphthalmology Physician
35044577OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC, LLC CurrentSince Sep 1, 1996 Accepting new patients
Healthpoint Family Care, Inc. CurrentSince Jul 16, 2021 Accepting new patients
Cei Physicians PSC LLC Ophthalmology CurrentSince Sep 1, 1996 Accepting new patients
Healthpoint Family Care Inc CurrentSince Jul 16, 2021 Accepting new patients

Locations

1401 Madison Ave
Covington, KY 41011
Phone (606) 655-8034

215 E 11th St
Newport, KY 41071

1945 Cei Dr
Blue Ash, OH 45242

8040 Reading Rd
Cincinnati, OH 45237
Phone (513) 761-3700

10700 Montgomery Rd
Montgomery, OH 45242
Phone (513) 385-9600

10494 Montgomery Rd
Montgomery, OH 45242
Phone (513) 221-2544

Organizations & group practices 4

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1821056706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 CEI DRIVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423311",
            "telephone_number": "513-569-3741",
            "fax_number": "513-569-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113313",
            "telephone_number": "859-655-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Cei Dr",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452425664",
            "country_code": "US",
            "telephone_number": "513-569-3741",
            "fax_number": "513-569-3941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35044577",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "31051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0454360",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64783525",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000021249",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100373630",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180026064",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.