Active NPI
William Martin Collins, M.D.
- Internal Medicine Physician
- Whitesburg, KY
National Provider Identifier
1174525836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23375
- Practice address
- 109 E Main St
Whitesburg, KY 41858-7351 - Phone
- (606) 633-4488
- Fax
- (606) 633-8383
- NPI assigned
- Aug 12, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23375 | KY | Primary |
Addresses
Primary practice location
109 E Main St
Whitesburg, KY 41858-7351
Mailing address
109 E Main St
Whitesburg, KY 41858-7351
Phone (606) 633-4488
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4884 | Other | KY | BLUE CROSS/BLUE SHIELD |
| 35000983 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040305000117 | KY | Practitioner - Family Practice | 5496642563 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Louisville School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
109 E Main St
Whitesburg, KY 41858-7351
Hospital & facility affiliations
- Whitesburg Arh Hospital
- Pikeville Medical Center
- Letcher Manor
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William M Collins | Current | Accepting new patients | |
| Kyva Investments Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
157 Dorton Jenkins Hwy
Jenkins, KY 41537
Phone (606) 639-4020
109 E Main St
Whitesburg, KY 41858
Phone (606) 633-4488
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.
-
- Family Medicine Physician
- Jenkins, KY
- NPI 1821233750
-
- Community/Retail Pharmacy
- Whitesburg, KY
- NPI 1467564310
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Whitesburg, KY
- NPI 1194723726
Hospital
-
- Multi-Specialty Clinic/Center
- Whitesburg, KY
- NPI 1821204199
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1174525836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 E MAIN ST",
"city": "WHITESBURG",
"state": "KY",
"postal_code": "418587351",
"telephone_number": "606-633-4488",
"fax_number": "606-633-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 E MAIN ST",
"city": "WHITESBURG",
"state": "KY",
"postal_code": "418587351",
"telephone_number": "606-633-4488",
"fax_number": "606-633-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "WILLIAM",
"middle_name": "MARTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "23375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "4884",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35000983",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whitesburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.