Active NPI
McAllister Windom
- Pediatric Cardiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 2015-01111
- Practice address
- 130 Marcella St Apt 1
Boston, MA 02119-1280 - Phone
- (203) 506-5425
- NPI assigned
- Apr 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Cardiology Physician | 2080P0202X | 2015-01111 | NC | Primary |
Addresses
Primary practice location
130 Marcella St Apt 1
Boston, MA 02119-1280
Mailing address
130 Marcella St Apt 1
Boston, MA 02119-1280
Phone (203) 506-5425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Tufts University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1126 N Church St
Suite 203
Greensboro, NC 27401-1037
Phone (919) 684-8111
3116 N Duke St
Durham, NC 27704-2102
Phone (919) 684-8111
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H Cone Memorial Hospital Operating Corporation | Pediatrics | Current | Accepting new patients |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients |
Locations
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
1126 N Church St
Ste 203
Greensboro, NC 27401
Phone (336) 235-0944
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
Interoperability endpoints
- mwindom4353@direct.medicine.duke.edu
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 and National Provider Directory roles.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1356372064
Pediatrics
-
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1003172321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 MARCELLA ST APT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021191280",
"telephone_number": "203-506-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MARCELLA ST APT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021191280",
"telephone_number": "203-506-5425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDOM",
"first_name": "MCALLISTER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NC",
"license": "2015-01111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.