Individual provider Active NPI

William Dalrymple IV, D.O.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1194132811
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2251 Issued in NV
Practice address
80 S Martin Luther King Blvd Ste 100
Las Vegas, NV 89106-4325
Phone
(725) 228-4500
Fax
(877) 889-2823
NPI assigned
Jul 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO2251 NV Primary

Addresses

Primary practice location

80 S Martin Luther King Blvd Ste 100
Las Vegas, NV 89106-4325

Mailing address

80 S Martin Luther King Blvd Ste 100
Las Vegas, NV 89106-4325
Phone (725) 228-4500

Other identifiers 2

IdentifierTypeStateIssuer
1194132811MedicaidNV
V73243OtherNVMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WDalrymple@centerwellprimarycare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20170824001108 NV Practitioner - Family Practice 8022380104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platinum Hospitalists LLPGroup PAC ID 7214076322, 197 clinicians

Practice addresses (Care Compare)

7495 W Azure Dr
Suite 209
Las Vegas, NV 89130-4440
Phone (702) 407-7700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Forte D O LTD Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Platinum Hospitalists LLP Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Platinum Hospitalists LLP Family Medicine Current Accepting new patients
Platinum Hospitalists LLP Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
West Henderson Hospital Medical Center LLC Past Accepting new patients
Intermountain Medical Holdings Nevada Inc Family Medicine Past Accepting new patients

Locations

10624 S Eastern Ave
Ste A995
Henderson, NV 89052

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

9010 W Cheyenne Ave
Las Vegas, NV 89129
Phone (702) 240-8646

4845 S Rainbow Blvd
Ste 402
Las Vegas, NV 89103
Phone (702) 362-9800

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

Interoperability endpoints

  • Direct secure messaging: wdalrymple@centerwellprimarycare.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1194132811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 S MARTIN LUTHER KING BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064325",
            "telephone_number": "725-228-4500",
            "fax_number": "877-889-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S MARTIN LUTHER KING BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064325",
            "telephone_number": "725-228-4500",
            "fax_number": "877-889-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALRYMPLE",
        "first_name": "WILLIAM",
        "name_suffix": "IV",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194132811",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "V73243",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WDalrymple@centerwellprimarycare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "80 S Martin Luther King Blvd Ste 100",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891064325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.