Individual provider Active NPI

William Nathan Handelman, MD

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1083650030
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME069462 Issued in FL
Practice address
6399 38TH Ave N
Suite C6
St Petersburg, FL 33710-1647
Phone
(727) 384-6411
Fax
(727) 384-9033
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME069462 FL Primary

Addresses

Primary practice location

6399 38TH Ave N
Suite C6
St Petersburg, FL 33710-1647

Mailing address

6399 38TH Ave
St Petersburg, FL 33710
Phone (727) 384-6411

Other identifiers 2

IdentifierTypeStateIssuer
28213OtherFLBCBS
379934400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040301000192 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0547162794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
University of Louisville School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6399 38TH Ave N
Suite C6
St Petersburg, FL 33710-1652
Phone (727) 384-6411

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME069462FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William N Handelman MD PA CurrentSince Mar 22, 2001 Accepting new patients

Locations

6399 38th Ave N
St Petersburg, FL 33710
Phone (727) 384-6411

6399 38th Ave N
Ste C6
St Petersburg, FL 33710
Phone (727) 384-6411

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 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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1083650030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6399 38TH AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-384-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 38TH AVE N",
            "address_2": "SUITE C6",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101647",
            "telephone_number": "727-384-6411",
            "fax_number": "727-384-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDELMAN",
        "first_name": "WILLIAM",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME069462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28213",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379934400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.