Individual provider Active NPI

William Millar, MD

  • Neuroradiology Physician
  • Southampton, NY
National Provider Identifier
1013945914
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
199311-1 Issued in NY
Practice address
570 Hampton Rd Apt 25
Southampton, NY 11968-3019
Phone
(631) 644-7244
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 199311-1 NY
Neuroradiology Physician 2085N0700X 199311-1 NY Primary

Addresses

Primary practice location

570 Hampton Rd Apt 25
Southampton, NY 11968-3019

Mailing address

570 Hampton Rd Apt 25
Southampton, NY 11968-3019
Phone (631) 644-7244

Other identifiers 1

IdentifierTypeStateIssuer
01598769MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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
I20040529000121 NY Practitioner - Diagnostic Radiology 4880675289 Reassigns benefits to 3 organizations
I20140721000583 PA Practitioner - Diagnostic Radiology 4880675289 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University Radiology Associates LLCGroup PAC ID 7315845708, shared by 3 NPIs, 110 clinicians

Practice addresses (Care Compare)

111 S 11TH St
Suite 8490
Philadelphia, PA 19107-4824
Phone (215) 955-6161

2301 S Broad St
Philadelphia, PA 19148-3542

570 Hampton Rd
Apt 25
Southampton, NY 11968-3019
Phone (215) 503-4900

850 Walnut St
Jefferson Outpatient Imaging
Philadelphia, PA 19107-5109
Phone (610) 831-0500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199311-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc CurrentSince Dec 6, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jan 1, 2020 Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Nov 16, 2019 Accepting new patients
Jefferson University Radiology Associates LLC Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Methodist Associates in Healthcare, Inc Diagnostic Radiology Current Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Nov 16, 2019 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Methodist Associates in Healthcare, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Southside Faculty Medical Affiliates University Faculty Practice Corp CurrentSince Aug 1, 2021 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jan 1, 2020 Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology Past Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

1220 Hicksville Rd
Seaford, NY 11783

100 N Academy Ave
Danville, PA 17822

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

780 Broad St
Montoursville, PA 17754
Phone (570) 368-2870

850 Walnut St
Philadelphia, PA 19107
Phone (215) 503-4900

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1013945914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 HAMPTON RD APT 25",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119683019",
            "telephone_number": "631-644-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 HAMPTON RD APT 25",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119683019",
            "telephone_number": "631-644-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAR",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "199311-1",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "199311-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01598769",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

Verify at the official NPI Registry.