NPIMap

Individual provider Active NPI

William Michael Peterson II, M.D.

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
National Provider Identifier
1235366733
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD450869 Issued in PA
Practice address
320 E North Ave
Pittsburgh, PA 15212-4756
Phone
(412) 359-2459
Fax
(412) 359-8233
NPI assigned
Jun 11, 2009
Last updated
Oct 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.124107 OH
Diagnostic Radiology Physician 2085R0202X MD450869 PA Primary

Addresses

Primary practice location

320 E North Ave
Pittsburgh, PA 15212-4756

Mailing address

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-2459

Other practice location 1

215 Thornapple Ln
Cranberry Township, PA 16066-6579
Phone (412) 974-5811

Other practice location 2

215 Thornapple Ln
Cranberry Township, PA 16066-6579
Phone (412) 974-5811

Other identifiers 1

IdentifierTypeStateIssuer
102943279MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wpeterson149505@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140703000190 PA Practitioner - Diagnostic Radiology 0042456543 Reassigns benefits to 3 organizations
I20211008000040 NY Practitioner - Diagnostic Radiology 0042456543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Pennsylvania State University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chautauqua Medical Practice PCGroup PAC ID 5294920203, 103 clinicians
Allegheny Clinic RadiologyGroup PAC ID 8426364738, 153 clinicians

Practice addresses (Care Compare)

189 E Main St
Westfield, NY 14787-1104
Phone (716) 793-2221

320 E N Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-2459

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.124107OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc/HVHS Cancer Center Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Upmc/HVHS Cancer Center CurrentSince Jul 1, 2014 Accepting new patients
Chautauqua Medical Practice, P.C. CurrentSince Jul 6, 2021 Accepting new patients
Allegheny Clinic Radiology Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Allegheny Clinic PastSince Sep 13, 2023 Accepting new patients

Locations

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

1600 Coraopolis Heights Rd
Moon Twp, PA 15108
Phone (412) 269-7062

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

320 E North Ave
Ste G70
Pittsburgh, PA 15212

600 Aberdeen Dr
#B
Somerset, PA 15501

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1235366733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-2459",
            "fax_number": "412-359-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-2459",
            "fax_number": "412-359-8233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Thornapple Ln",
            "address_purpose": "LOCATION",
            "city": "Cranberry Township",
            "state": "PA",
            "postal_code": "160666579",
            "country_code": "US",
            "telephone_number": "412-974-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Thornapple Ln",
            "address_purpose": "LOCATION",
            "city": "Cranberry Township",
            "state": "PA",
            "postal_code": "160666579",
            "country_code": "US",
            "telephone_number": "412-974-5811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.124107",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD450869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102943279",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wpeterson149505@direct.ahn.org",
            "affiliation": "N",
            "address_1": "320 E North Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.