Individual provider Active NPI

Jeffrey Harrison William, M.D.

  • Nephrology Physician
  • Boston, MA
National Provider Identifier
1033439716
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
252503 Issued in MA
Practice address
171 Pilgrim Rd
Libby 2
Boston, MA 02215-5332
Phone
(617) 632-9880
Fax
(617) 632-9890
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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 244088 MA
Nephrology Physician 207RN0300X 252503 MA Primary

Addresses

Primary practice location

171 Pilgrim Rd
Libby 2
Boston, MA 02215-5332

Mailing address

171 Pilgrim Rd
Libby 2
Boston, MA 02215-5332
Phone (617) 632-9880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150811003893 MA Practitioner - NephrologyPractitioner - Internal Medicine 4981919644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Tufts University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

1 Deaconess Rd
Boston, MA 02215-5321
Phone (781) 983-9088

1 Lyons St
Dedham, MA 02026-5599
Phone (781) 329-1400

100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800

1250 Hancock St
Quincy, MA 02169-4339
Phone (617) 740-0600

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

148 Chestnut St
Needham, MA 02492-2505
Phone (781) 983-9088

2 Technology Park Dr
Suite a
Bourne, MA 02532-8341
Phone (508) 743-9543

20 Wall St
Burlington, MA 01803-4758
Phone (781) 221-2500

291 Independence Dr
Chestnut Hill, MA 02467-3628
Phone (617) 325-2800

31 Pine St
Suite 300
Norfolk, MA 02056-1680
Phone (781) 493-7200

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612

90 Libbey Industrial Pkwy
Suite 201
Weymouth, MA 02189-3157
Phone (781) 682-0606

Hospital & facility affiliations

  • DaVita Brookline Dialysis Dialysis facility, Brookline, MA, CCN 222529
  • FMC Westwood Dialysis Center (BMA Westwood) Dialysis facility, Westwood, MA, CCN 222511
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244088MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jul 1, 2015 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Atrius Health, Inc. Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Atrius Health, Inc. Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

171 Pilgrim Rd
#2
Boston, MA 02215
Phone (617) 632-9880

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

300 Chestnut St
Ste 900
Needham, MA 02492
Phone (781) 444-5080

148 Chestnut St
Needham, MA 02492
Phone (781) 453-3000

1 University Ave
Westwood, MA 02090
Phone (617) 754-1021

Interoperability endpoints

  • Direct secure messaging: jwilliammd178844@direct.atrius.masshiway.net
  • Direct secure messaging: jwilliam251760@direct.bilh.masshiway.net

Organizations & group practices 7

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 3

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1033439716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 PILGRIM RD",
            "address_2": "LIBBY 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155332",
            "telephone_number": "617-632-9880",
            "fax_number": "617-632-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 PILGRIM RD",
            "address_2": "LIBBY 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155332",
            "telephone_number": "617-632-9880",
            "fax_number": "617-632-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAM",
        "first_name": "JEFFREY",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "244088",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "252503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.