NPIMap

Individual provider Active NPI

William C Koonce, MD

  • Internal Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1124010095
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G58414 Issued in CA
Practice address
219 Nogales Ave
Ste B
Santa Barbara, CA 93105-3848
Phone
(805) 682-7200
Fax
(805) 682-3278
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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 G58414 CA Primary

Addresses

Primary practice location

219 Nogales Ave
Ste B
Santa Barbara, CA 93105-3848

Mailing address

219 Nogales Ave
Ste B
Santa Barbara, CA 93105-3848
Phone (805) 682-7200

Other identifiers 2

IdentifierTypeStateIssuer
00G584140OtherCABLUE SHIELD
1124010095MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100802000858 CA Practitioner - Internal MedicinePractitioner - Diagnostic Radiology 1658404371 Reassigns benefits to 1 organization
Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Diagnostic Radiology
Education
University of California, Irvine, California College of Medicine, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

219 Nogales Ave
Suite B
Santa Barbara, CA 93105-3848
Phone (805) 682-7200

300 Hot Springs Rd
Santa Barbara, CA 93108-2037

Hospital & facility affiliations

  • Assisted Home Health Home health agency, Santa Barbara, CA, CCN 058324
  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Vna Health Home health agency, Santa Barbara, CA, CCN 057163
  • Vna Health Hospice, Santa Barbara, CA, CCN 051540
  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
  • Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357
  • Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331
  • Casa Dorinda Nursing home, Santa Barbara, CA, CCN 555023
  • Valle Verde Health Facility Nursing home, Santa Barbara, CA, CCN 055733

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
79.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paul S Aijian MD William C Koonce MD Internal Medicine Current Accepting new patients
Goleta Valley Cottage Hospital Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients

Locations

219 Nogales Ave
Ste B
Santa Barbara, CA 93105
Phone (805) 682-7200

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1124010095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 NOGALES AVE",
            "address_2": "STE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053848",
            "telephone_number": "805-682-7200",
            "fax_number": "805-682-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 NOGALES AVE",
            "address_2": "STE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053848",
            "telephone_number": "805-682-7200",
            "fax_number": "805-682-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONCE",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G58414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G584140",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124010095",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.