NPIMap

Individual provider Active NPI

William Camp Pace, MD

  • Infectious Disease Physician
  • Southampton, PA
National Provider Identifier
1114188893
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD439213 Issued in PA
Practice address
729 Grove Ave Unit 4
Southampton, PA 18966
Phone
(215) 355-9634
Fax
(215) 357-7540
NPI assigned
Jun 24, 2008
Last updated
May 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD439213 PA Primary

Addresses

Primary practice location

729 Grove Ave Unit 4
Southampton, PA 18966

Mailing address

729 Grove Ave Unit 4
Southampton, PA 18966-6008
Phone (215) 355-9634

Other identifiers 1

IdentifierTypeStateIssuer
102512341MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address William.Pace@infectiousdiseaseassocpc.chartmaker.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101022000938 PA Practitioner - Internal MedicinePractitioner - Infectious Disease 9234322157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Diseases Associates PCGroup PAC ID 0648166314, 9 clinicians

Practice addresses (Care Compare)

729 Grove Ave
Unit 4
Southampton, PA 18966-6008
Phone (215) 355-9634

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD439213PAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince Jul 1, 2019 Accepting new patients
Aria Health Physician Services CurrentSince Jul 1, 2019 Accepting new patients
Aria Health Physician Services Current Accepting new patients

Locations

380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

4900 Frankford Ave
Philadelphia, PA 19124
Phone (215) 612-2610

Interoperability endpoints

  • Direct secure messaging: drpace@ida.azalea.phimailbox.com
  • Direct secure messaging: william.pace@infectiousdiseaseassocpc.chartmaker.com
  • Direct secure messaging: william.pace@infectiousdiseaseassocpc.chartmakerdirect.com

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1114188893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 GROVE AVE UNIT 4",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189666008",
            "telephone_number": "215-355-9634",
            "fax_number": "215-357-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 GROVE AVE UNIT 4",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "18966",
            "telephone_number": "215-355-9634",
            "fax_number": "215-357-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "WILLIAM",
        "middle_name": "CAMP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD439213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102512341",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "William.Pace@infectiousdiseaseassocpc.chartmaker.com",
            "affiliation": "N",
            "endpointDescription": "Infectious Diseases Associates PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": ".xml",
            "address_1": "729 Grove Ave Unit 4",
            "city": "Southampton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "18966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.