Individual provider Active NPI

William James McShane, DPM

  • Podiatrist
  • Valley Stream, NY
National Provider Identifier
1033189667
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
003954 Issued in NY
Practice address
66 W Merrick Rd
Valley Stream, NY 11580-5707
Phone
(516) 825-3880
Fax
(516) 599-6257
NPI assigned
Jan 25, 2006
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 003954 NY Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 003954 NY
Sports Medicine Podiatrist 213ES0000X 003954 NY
Foot Surgery Podiatrist 213ES0131X 003954 NY

Addresses

Primary practice location

66 W Merrick Rd
Valley Stream, NY 11580-5707

Mailing address

66 W Merrick Rd
Valley Stream, NY 11580-5707
Phone (516) 825-3880

Other identifiers 1

IdentifierTypeStateIssuer
00903113MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090325000139 NY Practitioner - Podiatry 3779640479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

129 Jackson St
Hempstead, NY 11550-2412
Phone (516) 538-4531

66 W Merrick Rd
Valley Stream, NY 11580-5707

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of nail tissue591
Removal or shaving of skin growth431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003954NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Podiatry,PC CurrentSince Feb 27, 1997 Accepting new patients

Locations

131 Main St
Ste 7
East Rockaway, NY 11518
Phone (516) 593-2233

129 Jackson St
Hempstead, NY 11550
Phone (212) 695-5122

54 Main St
Hempstead, NY 11550
Phone (516) 292-4105

54 Main St
Ste 7
Hempstead, NY 11550
Phone (516) 538-4531

66 W Merrick Rd
Valley Stream, NY 11580
Phone (516) 825-3880

66 W Merrick Rd
Ste 101
Valley Stream, NY 11580
Phone (516) 825-3830

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1033189667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805707",
            "telephone_number": "516-825-3880",
            "fax_number": "516-599-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 W MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805707",
            "telephone_number": "516-825-3880",
            "fax_number": "516-599-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHANE",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "003954",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "003954",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "003954",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "003954",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00903113",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.