Individual provider Active NPI

William Kenneth Mask, M.D.

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1215030507
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A48451 Issued in CA
Practice address
5921 Beech Bluff LN
Durham, NC 27705-8115
Phone
(504) 908-0337
Fax
(866) 722-3757
NPI assigned
Sep 5, 2006
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A48451 CA Primary

Addresses

Primary practice location

5921 Beech Bluff LN
Durham, NC 27705-8115

Mailing address

5921 Beech Bluff LN
Durham, NC 27705-8115
Phone (504) 908-0337

Other identifiers 1

IdentifierTypeStateIssuer
1670189MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, CA, MS, NC, TX, FL, TN, IL, MO, KS, NY11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20080722000445 LA Practitioner - Diagnostic RadiologyPractitioner - General Surgery 2264452457 Reassigns benefits to 8 organizations
Practice locations: Lafayette, LA
I20080723000313 CA Practitioner - Diagnostic Radiology 2264452457 Reassigns benefits to 1 organization
I20141030002577 MS Practitioner - Diagnostic Radiology 2264452457 Reassigns benefits to 1 organization
I20181226001054 NC Practitioner - Diagnostic Radiology 2264452457 Reassigns benefits to 4 organizations
I20210106000250 TX Practitioner - Diagnostic Radiology 2264452457 Reassigns benefits to 2 organizations
I20220406002867 FL Practitioner - Diagnostic Radiology 2264452457
I20220602001589 TN Practitioner - Diagnostic Radiology 2264452457
I20220607002222 IL Practitioner - Diagnostic Radiology 2264452457
I20230602001393 MO Practitioner - Diagnostic Radiology 2264452457
I20240626002825 KS Practitioner - Diagnostic Radiology 2264452457
I20241004001878 NY Practitioner - Diagnostic Radiology 2264452457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Duke University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians

Practice addresses (Care Compare)

1800 Lakeshore Dr
Fayetteville, NC 28305-5241
Phone (866) 722-1655

5921 Beech Bluff LN
Durham, NC 27705-8115
Phone (866) 722-1655

68 Harris Bushville Rd
Harris, NY 12742
Phone (718) 223-4685

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48451CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Retina Institute, L.L.C. CurrentSince Sep 29, 2014 Accepting new patients
North Oaks Medical Center, LLC Diagnostic Radiology CurrentSince Dec 16, 2022 Accepting new patients
Diagnostic Imaging Associates Diagnostic Radiology CurrentSince Feb 11, 2024 Accepting new patients
East Jefferson Family Practice L.L.C. CurrentSince May 17, 2014 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Mobile X-Ray of Austin Inc CurrentSince Apr 13, 2021 Accepting new patients
Louisiana Pet/CT Imaging of Lake Charles. LLC CurrentSince May 1, 2022 Accepting new patients
IHS Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Aug 15, 2023 Accepting new patients
Tri-State Medical Alliance LLC CurrentSince Jan 1, 2023 Accepting new patients
Alpha One Imaging, LLC CurrentSince Oct 1, 2016 Accepting new patients
Southern Medical Holding Corporation CurrentSince Oct 1, 2018 Accepting new patients
Ultrasound Services of Louisiana, LLC CurrentSince Jul 15, 2015 Accepting new patients
Quynh Mai Clinic LLC CurrentSince Jun 1, 2014 Accepting new patients
Pars Neurology PA Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
KND Development 59 , LLC CurrentSince Sep 17, 2018 Accepting new patients
Claiborne County Hospital Diagnostic Radiology CurrentSince Sep 1, 2014 Accepting new patients
St. Helena Hospital Current Accepting new patients
Radiology Associates of Oxford - PA Diagnostic Radiology CurrentSince Nov 15, 2021 Accepting new patients
Washington Radiologists Medical Group, Inc. CurrentSince Nov 1, 2022 Accepting new patients
St. Helena Hospital CurrentSince Jun 1, 2023 Accepting new patients
KND Development 59, LLC CurrentSince Sep 17, 2018 Accepting new patients
Jefferson Medical Clinic LLC CurrentSince May 1, 2014 Accepting new patients
Coastal Imaging Associates, PLLC Diagnostic Radiology CurrentSince Jun 29, 2022 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Dec 16, 2022 Accepting new patients
Truman Medical Center, Incorporated Past Accepting new patients
Imagecare Radiology PLLC Diagnostic Radiology PastSince Jan 14, 2024 Accepting new patients
Truman Medical Center, Incorporated Past Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology PastSince Mar 22, 2011 Accepting new patients
Lsu Medical Center Past Accepting new patients
Metairie Health Center Inc Past Accepting new patients
Nola Central City Clinic Past Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology Past Accepting new patients

Locations (25 of 33)

333 H St
Ste 1095
Chula Vista, CA 91910
Phone (619) 409-9119

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

1801 W Olympic Blvd
#1313
Pasadena, CA 91199

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

150 W Washington St
San Diego, CA 92103
Phone (619) 295-9729

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

765 W Nasa Blvd
Melbourne, FL 32901
Phone (321) 409-4042

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222

225 Edward St
Sycamore, IL 60178
Phone (815) 225-2144

435 Lapalco Blvd
Ste 1
Gretna, LA 70056
Phone (504) 392-4114

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

705 W Esplanade Ave
Ste A
Kenner, LA 70065
Phone (504) 465-0185

6621 Westbank Expy
Marrero, LA 70072
Phone (504) 309-7030

2701 N Causeway Blvd
Metairie, LA 70002
Phone (504) 301-0100

3848 Veterans Memorial Blvd
Ste 101
Metairie, LA 70002
Phone (504) 473-8435

4241 Vets Blvd
Ste 200
Metairie, LA 70006

500 NW 68th St
Kansas City, MO 64118
Phone (816) 420-3600

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

123 McComb Ave
Port Gibson, MS 39150
Phone (601) 437-5141

2401 S Side Blvd
Greensboro, NC 27406
Phone (336) 271-2800

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 34

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 34

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1215030507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 BEECH BLUFF LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277058115",
            "telephone_number": "504-908-0337",
            "fax_number": "337-706-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 BEECH BLUFF LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277058115",
            "telephone_number": "504-908-0337",
            "fax_number": "866-722-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASK",
        "first_name": "WILLIAM",
        "middle_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2023-02-07",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A48451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1670189",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.