Individual provider Active NPI

William I Dillon, M.D.

  • Dermatology Physician
  • Bowling Green, OH
National Provider Identifier
1013093574
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35064057D Issued in OH
Practice address
1037 Conneaut Ave
Suite 201
Bowling Green, OH 43402-5301
Phone
(419) 373-6046
Fax
(419) 352-9048
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35064057D OH Primary

Addresses

Primary practice location

1037 Conneaut Ave
Suite 201
Bowling Green, OH 43402-5301

Mailing address

1037 Conneaut Ave
Suite 201
Bowling Green, OH 43402-5301
Phone (419) 373-6046

Other identifiers 4

IdentifierTypeStateIssuer
1013093574OtherOHRAILROAD MEDICARE
1013093574OtherOHMEDICAL MUTUAL OF OHIO
1013093574OtherOHFRONTPATH HEALTH COALITION
1013093574OtherOHHEALTH REACH

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
I20100427000231 OH Practitioner - Dermatology 5496731663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1037 Conneaut Ave
Suite 201
Bowling Green, OH 43402-5302
Phone (419) 373-6046

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.36 of 100Reported as group
Quality
0
Improvement activities
40
Cost
81.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision229
Removal of skin lesions2569
Removal of skin cancer349
Removal or shaving of skin growth41
Skin biopsy577

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35064057DOHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dillon Dermatology LLC Dermatology CurrentSince Jun 1, 2002 Accepting new patients

Locations

1037 Conneaut Ave
Ste 201
Bowling Green, OH 43402
Phone (419) 373-6046

1908 Glen Springs Dr
Fremont, OH 43420
Phone (419) 332-4778

6591 W Central Ave
Ste 105
Toledo, OH 43617
Phone (419) 345-7645

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1013093574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 CONNEAUT AVE",
            "address_2": "SUITE 201",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434025301",
            "telephone_number": "419-373-6046",
            "fax_number": "419-352-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 CONNEAUT AVE",
            "address_2": "SUITE 201",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434025301",
            "telephone_number": "419-373-6046",
            "fax_number": "419-352-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "WILLIAM",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35064057D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1013093574",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "1013093574",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FRONTPATH HEALTH COALITION",
            "identifier": "1013093574",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH REACH",
            "identifier": "1013093574",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.