PAUL WILLIAM WALES M.D.
NPI 1154080372
Surgery - Pediatric Surgery in Cincinnati, OH

Q: What is Paul Wales's NPI number?

The NPI number for Paul Wales is 1154080372. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Q: What is Paul Wales's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Paul Wales was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 15, 2021PECOS Enrolled

3333 BURNETT AVE., MLC, CINCINNATI, OH 45229(513) 803-0134 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Paul William Wales M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL WILLIAM WALES M.D. (NPI 1154080372) is an individual pediatric surgery provider in Cincinnati, Ohio, licensed in Ohio (35.143678) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154080372

Entity TypeIndividualMale

Primary Taxonomy2086S0120X

Provider Legal NamePAUL WILLIAM WALESCredential: M.D.

Location Address3333 BURNETT AVE., MLCCincinnati, OH 45229

Mailing Address3333 Burnett Ave., MlcCincinnati, OH 45229 · (513) 803-0134

Phone(513) 803-0134

Sole ProprietorNo

Enumeration DateDecember 15, 2021

NPPES CertifiedDecember 15, 2021

✔ NPI 1154080372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in OH · 35.143678

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

3333 BURNETT AVE., Cincinnati, OH 45229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul William Wales M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Paul Wales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Medical Center

Same address

Pediatrics

3333 BURNET AVENUE
Cincinnati, OH 45229

Reassigned Medicare billing, Ohio enrollment
2,080 clinicians in this Medicare group

NPI 1609915784 (513) 636-4225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CARLA J BRANSON NP/APN

Nurse Practitioner (Psychiatric/Mental Health)

3333 BURNETT AVE., CINCINNATI CHILDRENS HOSPITAL CREDENTIALING
CINCINNATI, OH 45229

Hamilton County (317) 826-1489

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Wales's NPI number?

The NPI number for Paul Wales is 1154080372. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Where is Paul Wales located?

Paul Wales practices at 3333 Burnett Ave. Mlc, Cincinnati, OH 45229. The listed phone number is (513) 803-0134.

What is Paul Wales's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Paul Wales enrolled in Medicare?

Yes. Paul Wales is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Wales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Wales reassigns Medicare benefits to Children's Hospital Medical Center (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Wales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Wales accept?

Health plans from Anthem Blue Cross and Blue Shield list Paul Wales as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Wales was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.