Individual provider Active NPI

William Harold Neches, MD

  • Pediatric Cardiology Physician
  • Kensington, MD
National Provider Identifier
1093093783
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
MD 013226E Issued in PA
Practice address
5229 Strathmore Ave
Kensington, MD 20895-1119
Phone
(240) 475-4077
Fax
(240) 303-2512
NPI assigned
Jul 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X MD 013226E PA Primary

Addresses

Primary practice location

5229 Strathmore Ave
Kensington, MD 20895-1119

Mailing address

5229 Strathmore Ave
Kensington, MD 20895-1119
Phone (240) 475-4077

Other identifiers 2

IdentifierTypeStateIssuer
0716573MedicaidPA
B 37517OtherPAUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20151117001501 PA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3779893037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 013226EPAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1093093783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5229 STRATHMORE AVE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951119",
            "telephone_number": "240-475-4077",
            "fax_number": "240-303-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5229 STRATHMORE AVE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951119",
            "telephone_number": "240-475-4077",
            "fax_number": "240-303-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECHES",
        "first_name": "WILLIAM",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-28",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "PA",
            "license": "MD 013226E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0716573",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B 37517",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

Verify at the official NPI Registry.