NPIMap

Individual provider Active NPI

William J Feeney, MD

  • Internal Medicine Physician
  • Latham, NY
National Provider Identifier
1336146364
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
158348 Issued in NY
Practice address
596 New Loudon Rd
Latham, NY 12110-4024
Phone
(518) 782-7133
Fax
(518) 782-7155
NPI assigned
Jul 5, 2005
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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 158348 NY Primary
Pediatrics Physician 208000000X 158348 NY

Addresses

Primary practice location

596 New Loudon Rd
Latham, NY 12110-4024

Mailing address

PO Box 11719
Albany, NY 12211-0719
Phone (518) 782-7133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040714001502 NY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8224017298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Albany Medical College of Union University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William J Feeney MD PLLCGroup PAC ID 2163401134, 3 clinicians

Practice addresses (Care Compare)

596 New Loudon Rd
Latham, NY 12110-4024
Phone (518) 782-7133

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions20
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158348NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William J Feeney MD PLLC Internal Medicine CurrentSince Apr 23, 2004 Accepting new patients
Steven E Fox Inc CurrentSince Aug 16, 2012 Accepting new patients

Locations

582 New Loudon Rd
Latham, NY 12110
Phone (518) 783-0072

596 New Loudon Rd
Latham, NY 12110
Phone (518) 782-7133

Interoperability endpoints

  • Direct secure messaging: william.feeney@593172783366148.direct.elationemr.com

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

Hospital & facility affiliations 12

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1336146364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11719",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122110719",
            "telephone_number": "518-782-7133",
            "fax_number": "518-782-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104024",
            "telephone_number": "518-782-7133",
            "fax_number": "518-782-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEENEY",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "158348",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "158348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.