Active NPI
William Moore Vanneman, M.D.
- Gastroenterology Physician
- Winchester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 38046
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0160725 | Medicaid | MA | |
| C20230 | Other | MA | BLUE CROSS & BLUE SHIELD |
| 38046 | Other | MA | TUFTS |
| 24794 | Other | MA | US HEALTHCARE |
| 30034 | Other | MA | HARVARD 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Albany Medical College of Union University, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- North Adams Regional Hospital Corporation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 30 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38046 | MA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dha Endoscopy LLC | Gastroenterology | Current | Accepting new patients |
| Berkshire Faculty Services Inc | Current | Accepting new patients | |
| Fairview Hospital | Current | Accepting new patients | |
| Dha Endoscopy LLC | Current | Accepting new patients | |
| Digestive Health Associates P.C. | Gastroenterology | Current | 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
- williamvanneman@bfs.medalliesdirect.net
- 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.
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
-
- Gastroenterology Physician
- Winchester, MA
- NPI 1912941733
-
- Anesthesiology Physician
- Stoneham, MA
- NPI 1851921555
-
- Rural Health Clinic/Center
- Great Barrington, MA
- NPI 1881252286
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Critical Access Hospital
- North Adams, MA
- NPI 1437839669
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.