Individual provider Active NPI

William Harold Hines, M.D.

  • Nephrology Physician
  • Stamford, CT
National Provider Identifier
1174629588
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
028914 Issued in CT
Practice address
30 Commerce Rd
Stamford, CT 06902-4550
Phone
(203) 324-7666
Fax
(203) 323-2541
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 028914 CT Primary

Addresses

Primary practice location

30 Commerce Rd
Stamford, CT 06902-4550

Mailing address

30 Commerce Rd
Stamford, CT 06902-4550
Phone (203) 324-7666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100119000019 CT Practitioner - NephrologyPractitioner - Internal Medicine 1052221884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
JS Weill Medical College, Cornell University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

292 Long Ridge Rd
Suite 203
Stamford, CT 06902-1627
Phone (203) 276-2435

Hospital & facility affiliations

  • DaVita Stamford Dialysis Dialysis facility, Stamford, CT, CCN 072504
  • Stamford Hospital Hospital, Stamford, CT, CCN 070006
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc CurrentSince Jul 1, 2012 Accepting new patients

Locations

292 Long Ridge Rd
Ste 203
Stamford, CT 06902
Phone (203) 276-2435

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

30 Commerce Rd
Stamford, CT 06902
Phone (203) 324-7666

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

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.

Hospital & facility affiliations 3

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1174629588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COMMERCE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024550",
            "telephone_number": "203-324-7666",
            "fax_number": "203-323-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COMMERCE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024550",
            "telephone_number": "203-324-7666",
            "fax_number": "203-323-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "WILLIAM",
        "middle_name": "HAROLD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "028914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.