William S Dallas, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD020500 Issued in TN

Practice address

120 Administration Rd
Oak Ridge, TN 37830-8822

Phone

(865) 483-7030

Fax

(865) 483-3954

NPI assigned

Dec 21, 2005

Last updated

Oct 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

General SurgeryAlso: Vascular Surgery

Education

University of Tennessee, HSC, College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
• Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dallas.william@covenanthealth.cernerdirect.com

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.

• Covenant Medical Group, Inc.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1457302010

  Surgery

  Medicare reassignment Care Compare group NPD
• Oak Ridge Surgeons, P.C.

  • Surgery Physician
  • Oak Ridge, TN
  • NPI 1295785970
  Authorized official Same address or phone
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  NPD
• Vascular Diagnostic Center of Oak Ridge Inc

  • Vascular Sonography Radiologic Technologist
  • Oak Ridge, TN
  • NPI 1891717419
  NPD
• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672
  NPD (past)
• Physicians Diagnostic Services

  • Diagnostic Ultrasound Physician
  • Oak Ridge, TN
  • NPI 1891816500
  NPD (past)

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

• Fort Sanders Regional Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1942294814
  Care Compare affiliation
• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672
  Care Compare affiliation

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1326024308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ADMINISTRATION RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378308822",
            "telephone_number": "865-483-7030",
            "fax_number": "865-483-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ADMINISTRATION RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378308822",
            "telephone_number": "865-483-7030",
            "fax_number": "865-483-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD020500",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "MD020500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009776",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dallas.william@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "120 Administration Rd",
            "city": "Oak Ridge",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378308822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beata Joanna Czartoryski
• Pamela Lynn Dagenhart
• Natalie Dagley
• Thomas Lloyd Dahl Jr., M.D.
• Andrew W Dake, MD
• Jennifer Rowland Dalton, DPT
• Jennie Leona Daniels
• Charles E Darling, MD
• Ryan David
• Ashley Hillis Davis, FNP-BC

• Surgery Physician in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.