Individual provider Active NPI

William Moore Vanneman, M.D.

  • Gastroenterology Physician
  • Winchester, MA
National Provider Identifier
1124075718
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
38046 Issued in MA
Practice address
955 Main St
Winchester, MA 01890-1961
Phone
(781) 729-5855
Fax
(781) 721-5891
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 38046 MA Primary

Addresses

Primary practice location

955 Main St
Winchester, MA 01890-1961

Mailing address

91 Montvale Ave
Stoneham, MA 02180-3623
Phone (781) 864-1295

Other identifiers 5

IdentifierTypeStateIssuer
0160725MedicaidMA
C20230OtherMABLUE CROSS & BLUE SHIELD
38046OtherMATUFTS
24794OtherMAUS HEALTHCARE
30034OtherMAHARVARD PILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20101215000308 MA Practitioner - GastroenterologyPractitioner - Internal Medicine 9335198076 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Albany Medical College of Union University, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

777 N St
201 Gastroenterology Services of Berkshire
Pittsfield, MA 01201-4147
Phone (413) 447-2745

Hospital & facility affiliations

  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
  • North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy30
Upper gastrointestinal (GI) endoscopy for acid reflux49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38046MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dha Endoscopy LLC Gastroenterology CurrentSince Sep 22, 2010 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Apr 22, 2019 Accepting new patients
Fairview Hospital CurrentSince Apr 22, 2019 Accepting new patients
Dha Endoscopy LLC CurrentSince Sep 22, 2010 Accepting new patients
Digestive Health Associates P.C. Gastroenterology CurrentSince Jul 1, 1975 Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

777 North St
Ste 201
Pittsfield, MA 01201
Phone (413) 499-8515

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

91 Montvale Ave
Ste 206
Stoneham, MA 02180
Phone (781) 518-9053

91 Montvale Ave
Stoneham, MA 02180
Phone (781) 279-1952

91 Montvale Ave
Ste 103
Stoneham, MA 02180
Phone (781) 835-2111

955 Main St
Winchester, MA 01890
Phone (781) 729-1900

Interoperability endpoints

  • Direct secure messaging: williamvanneman@bfs.medalliesdirect.net
  • Direct secure messaging: williamvanneman@digestiveh.allscriptsdirect.net

Organizations & group practices 5

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 2

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1124075718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MONTVALE AVE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803623",
            "telephone_number": "781-864-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901961",
            "telephone_number": "781-729-5855",
            "fax_number": "781-721-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNEMAN",
        "first_name": "WILLIAM",
        "middle_name": "MOORE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "38046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160725",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "C20230",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "38046",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "24794",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "30034",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.