Individual provider Active NPI

William B Camm, MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1013117944
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01041961A Issued in IN
Practice address
1 American SQ
Box 368
Indianapolis, IN 46282-0020
Phone
(317) 285-1049
NPI assigned
Jul 19, 2007
Last updated
Nov 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01041961A IN Primary
Internal Medicine Physician 207R00000X 35042163 OH

Addresses

Primary practice location

1 American SQ
Box 368
Indianapolis, IN 46282-0020

Mailing address

1 American SQ
Box 368
Indianapolis, IN 46206-0368
Phone (317) 285-1049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01041961AINMDInternal Medicine Physician
35042163OHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1013117944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AMERICAN SQ",
            "address_2": "BOX 368",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462060368",
            "telephone_number": "317-285-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AMERICAN SQ",
            "address_2": "BOX 368",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462820020",
            "telephone_number": "317-285-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMM",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01041961A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35042163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.