NPIMap

Individual provider Active NPI

William T Bartels, MD

  • General Practice Physician
  • Canfield, OH
National Provider Identifier
1104805423
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35063289 Issued in OH
Practice address
459 Lisbon St
Canfield, OH 44406-1424
Phone
(330) 533-9515
Fax
(330) 533-9619
NPI assigned
Jan 13, 2006
Last updated
Dec 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35063289 OH Primary

Addresses

Primary practice location

459 Lisbon St
Canfield, OH 44406-1424

Mailing address

459 Lisbon St
Canfield, OH 44406
Phone (330) 533-9515

Other identifiers 2

IdentifierTypeStateIssuer
35063289OtherOHLICENSE
0908254MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105000003 OH Practitioner - Family Practice 8022207208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

459 Lisbon St
Canfield, OH 44406-1424
Phone (330) 533-9515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
71.12
Promoting interoperability
100
Improvement activities
40
Cost
75.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35063289OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC CurrentSince Feb 14, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

459 Lisbon St
Canfield, OH 44406
Phone (330) 533-9515

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

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

Hospital & facility affiliations 8

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1104805423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 LISBON ST",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "44406",
            "telephone_number": "330-533-9515",
            "fax_number": "330-533-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 LISBON ST",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061424",
            "telephone_number": "330-533-9515",
            "fax_number": "330-533-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELS",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35063289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "35063289",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0908254",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.