Individual provider Active NPI

William P. Innis, M.D.

  • Otolaryngology Physician
  • Needham, MA
National Provider Identifier
1194990929
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
238313 Issued in MA
Practice address
560 Hillside Ave
Suite H
Needham, MA 02494
Phone
(781) 444-4722
NPI assigned
Apr 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 238313 MA Primary

Addresses

Primary practice location

560 Hillside Ave
Suite H
Needham, MA 02494

Mailing address

560 Hillside Ave
Suite H
Needham, MA 02494-2401
Phone (781) 444-4722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090410000045 MA Practitioner - Otolaryngology 5395892285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Johns Hopkins University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston ENT Associates PCGroup PAC ID 5395706923, 9 clinicians

Practice addresses (Care Compare)

560 Hillside Ave
Needham, MA 02494-1232
Phone (781) 444-4722

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boston ENT Associates, P.C. Otolaryngology CurrentSince Mar 6, 2009 Accepting new patients
Newton Wellesley Hospital Current Accepting new patients

Locations

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

560 Hillside Ave
Needham, MA 02494
Phone (781) 444-4722

560 Hillside Ave
Ste H
Needham Heights, MA 02494
Phone (781) 444-4722

1208B Vfw Pkwy
Ste 303
West Roxbury, MA 02132
Phone (617) 524-3864

Interoperability endpoints

  • Direct secure messaging: william.innis.1@12176.direct.athenahealth.com
  • Direct secure messaging: innis.william.bent@direct.partners.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/12176/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 4

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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1194990929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 HILLSIDE AVE",
            "address_2": "SUITE H",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942401",
            "telephone_number": "781-444-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 HILLSIDE AVE",
            "address_2": "SUITE H",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "02494",
            "telephone_number": "781-444-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNIS",
        "first_name": "WILLIAM",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "238313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.