Individual provider Active NPI

Andrew Willis, M.D.

  • Specialist
  • Morristown, NJ
National Provider Identifier
1154412187
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07774400 Issued in NJ
Practice address
160 E Hanover Ave
Morristown, NJ 07960-3150
Phone
(973) 538-2334
Fax
(973) 829-9174
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07774400 NJ Primary

Addresses

Primary practice location

160 E Hanover Ave
Morristown, NJ 07960-3150

Mailing address

PO Box 1446
Morristown, NJ 07962-1446
Phone (973) 538-2334

Other identifiers 7

IdentifierTypeStateIssuer
0073822MedicaidNJ
0514943OtherNJAETNA HMO#
0796671000OtherNJAMERIHEALTH #
G20272OtherNJAMERIHEALTH ADM #
IS454OtherNJOXFORD #
0073822OtherNJAETNA PPO#
5713656OtherNJGHI PPO #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20041230000036 NJ Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 6709844269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Columbia University College of Physicians and Surgeons, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Orthopaedic and Sports Medicine PAGroup PAC ID 7416840491, 43 clinicians

Practice addresses (Care Compare)

197 Ridgedale Ave
Suite 300
Cedar Knolls, NJ 07927-2111
Phone (973) 538-2334

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.23 of 100Reported as group
Quality
79.62
Promoting interoperability
73
Improvement activities
40
Cost
73.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Orthopaedic & Sports Medicine PA Specialist CurrentSince Aug 30, 2004 Accepting new patients
Tri-County Orthopaedic & Sports Medicine PA CurrentSince Aug 30, 2004 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

197 Ridgedale Ave
Ste 1
Cedar Knolls, NJ 07927

197 Ridgedale Ave
Ste 210
Cedar Knolls, NJ 07927
Phone (973) 387-1044

197 Ridgedale Ave
Ste 300
Cedar Knolls, NJ 07927
Phone (605) 216-3916

160 E Hanover Ave
Morristown, NJ 07960
Phone (973) 538-0900

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60912

Organizations & group practices 3

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1154412187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1446",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079621446",
            "telephone_number": "973-538-2334",
            "fax_number": "973-829-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E HANOVER AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603150",
            "telephone_number": "973-538-2334",
            "fax_number": "973-829-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07774400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073822",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO#",
            "identifier": "0514943",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH #",
            "identifier": "0796671000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADM #",
            "identifier": "G20272",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD #",
            "identifier": "IS454",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO#",
            "identifier": "0073822",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO #",
            "identifier": "5713656",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.