NPIMap

Individual provider Active NPI

William Porter

  • Radiation Oncology Physician
  • Madison, IN
National Provider Identifier
1245530203
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
01075594A Issued in IN
Practice address
1373 E Sr 62
Madison, IN 47250-7328
Phone
(812) 801-0603
Fax
(812) 801-0589
NPI assigned
Oct 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57018444 OH
Radiation Oncology Physician 2085R0001X 01075594A IN Primary

Addresses

Primary practice location

1373 E Sr 62
Madison, IN 47250-7328

Mailing address

PO Box 189
Madison, IN 47250-0189
Phone (812) 801-0603

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wporter29466@bhkydirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190531001290 KY Practitioner - Radiation Oncology 0345488037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5100

Hospital & facility affiliations

  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • University of Louisville Hospital Hospital, Louisville, KY, CCN 180141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57018444OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Deaconess Medical Group Inc CurrentSince Sep 1, 2021 Accepting new patients
Baptist Health Deaconess Medical Group Inc Internal Medicine Current Accepting new patients
Baptist Health Deaconess Medical Group Inc Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 16, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 16, 2019 Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

800 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3800

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Interoperability endpoints

  • Direct secure messaging: drporter@kdhmadison.direct.varian.com

Organizations & group practices 5

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1245530203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472500189",
            "telephone_number": "812-801-0603",
            "fax_number": "812-801-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 E SR 62",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472507328",
            "telephone_number": "812-801-0603",
            "fax_number": "812-801-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57018444",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01075594A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wporter29466@bhkydirect.com",
            "affiliation": "N",
            "address_1": "913 N Dixie Ave",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427012503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.