Active NPI
William Hoover III, MD
- Dermatology Physician
- Huntersville, NC
National Provider Identifier
1134539638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2018-01084
- Practice address
- 9735 Kincey Ave Ste 102
Huntersville, NC 28078 - Phone
- (704) 784-5901
- Fax
- (704) 721-0413
- NPI assigned
- May 6, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 201131 | NC | |
| Dermatology Physician | 207N00000X | 2018-01084 | NC | Primary |
Addresses
Primary practice location
9735 Kincey Ave Ste 102
Huntersville, NC 28078
Mailing address
335 Penny LN
Concord, NC 28025-1221
Phone (704) 784-5901
Other practice location 1
335 Penny Ln
Concord, NC 28025-1221
Phone (704) 784-5901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Dermatology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9735 Kincey Ave
Suite 102
Huntersville, NC 28078-9120
Phone (704) 784-5901
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.93 of 100
- Quality
- 69.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.64
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 69 |
| Removal of skin lesions | 1100 |
| Removal of skin cancer | 1-10 |
| Skin biopsy | 222 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201131 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Group of the Carolinas | Dermatology | Current | Accepting new patients |
Locations
335 Penny Ln
Concord, NC 28025
Phone (704) 784-5901
9735 Kincey Ave
Ste 102
Huntersville, NC 28078
Phone (704) 784-5901
Interoperability endpoints
- t.hoover@directaddress.net
Organizations & group practices 1
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.
-
- Dermatology Physician
- Concord, NC
- NPI 1437110772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1134539638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 PENNY LN",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251221",
"telephone_number": "704-784-5901",
"fax_number": "704-446-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9735 KINCEY AVE STE 102",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "28078",
"telephone_number": "704-784-5901",
"fax_number": "704-721-0413"
}
],
"practiceLocations": [
{
"address_1": "335 Penny Ln",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280251221",
"country_code": "US",
"telephone_number": "704-784-5901",
"fax_number": "704-721-0413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOOVER",
"first_name": "WILLIAM",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-06",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "201131",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "2018-01084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.