NPIMap

Individual provider Active NPI

William Difilippo, MD

  • Nephrology Physician
  • Jamestown, NY
National Provider Identifier
1023062353
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD430288 Issued in PA
Practice address
15 S Main St Ste 130
Jamestown, NY 14701-6626
Phone
(716) 664-7725
Fax
(716) 664-9241
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 219785-1 NY
Nephrology Physician 207RN0300X MD430288 PA Primary

Addresses

Primary practice location

15 S Main St Ste 130
Jamestown, NY 14701-6626

Mailing address

15 S Main St Ste 130
Jamestown, NY 14701-6626
Phone (716) 664-7725

Other identifiers 3

IdentifierTypeStateIssuer
0016863990017MedicaidPA
02107899MedicaidNY
16863990002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061219000443 PA Practitioner - NephrologyPractitioner - Internal Medicine 2466424452 Reassigns benefits to 1 organization
I20151026000019 NY Practitioner - NephrologyPractitioner - Internal Medicine 2466424452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians

Practice addresses (Care Compare)

12 Ctr St
Fredonia, NY 14063-1769

15 S Main St
Jamestown, NY 14701-6626

207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 934-3641

31 Sherman St
Suite 2400
Jamestown, NY 14701-7082
Phone (814) 483-5306

Hospital & facility affiliations

  • DaVita Jamestown Dialysis Center Dialysis facility, Jamestown, NY, CCN 332703
  • DaVita Dunkirk Dialysis Dialysis facility, Dunkirk, NY, CCN 332767
  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239
  • Warren General Hospital Hospital, Warren, PA, CCN 391319
  • Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229
  • Warren General Hospital Hospital, Warren, PA, CCN 390146
  • Uniontown Hospital Hospital, Uniontown, PA, CCN 390041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219785-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc CurrentSince Mar 1, 2025 Accepting new patients
Great Lakes Physician Practice PC Nephrology CurrentSince Jan 2, 2025 Accepting new patients
Jamestown Area Medical Associates, L.L.P. Nephrology CurrentSince Jun 1, 1997 Accepting new patients
Mohawk Valley Nephrology Associates, LLP Nephrology PastSince Jul 20, 2004 Accepting new patients

Locations

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

15 S Main St
Ste 130
Jamestown, NY 14701
Phone (716) 483-3520

201 State St
Erie, PA 16550
Phone (814) 877-2137

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

1885 Market St
Ste B
Warren, PA 16365
Phone (814) 723-0100

Interoperability endpoints

  • Direct secure messaging: wdifilippo537945@upmc.direct-ci.com
  • Direct secure messaging: william.difilippo@upmcdirect.com

Organizations & group practices 4

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1023062353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST STE 130",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016626",
            "telephone_number": "716-664-7725",
            "fax_number": "716-664-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST STE 130",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016626",
            "telephone_number": "716-664-7725",
            "fax_number": "716-664-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFILIPPO",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "219785-1",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD430288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016863990017",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02107899",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16863990002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.