Active NPI
William B Holgerson, MD
- Internal Medicine Physician
- Wellesley, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA42491
- Practice address
- 40 Walnut Street
Suite 201
Wellesley, MA 02481-2102 - Phone
- (781) 235-1224
- Fax
- (781) 235-4111
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA42491 | MA | Primary |
Addresses
Primary practice location
40 Walnut Street
Suite 201
Wellesley, MA 02481-2102
Mailing address
40 Walnut Street
Suite 201
Wellesley, MA 02481-2102
Phone (781) 235-1224
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2063905 | Medicaid | MA | |
| 4104100003 | Other | MA | CIGNA |
| 445111087 | Other | MA | RAILROAD MEDICARE |
| 61775 | Other | MA | HARVARD PILGRIM HEALTH |
| 04-01896 | Other | MA | UNITED HEALTHCARE |
| 706659 | Other | MA | TUFTS |
| B33544 | Other | MA | BLUESHIELD OF MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Massachusetts Medical School, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
40 Walnut St
Suite 102
Wellesley, MA 02481-2175
Hospital & facility affiliations
- Mass General Brigham Home Care, Inc
- Newton-Wellesley Hospital
- Brigham and Women'S Hospital
- Massachusetts General Hospital
- Brigham and Women Faulkner Hospital
- Beth Israel Deaconess Medical Center
- Spaulding Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA42491 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Wellesley Primary Care P C | Internal Medicine | Current | Accepting new patients |
| Newton Wellesley Ambulatory Services | Past | Accepting new patients |
Locations
1450 Highland Ave
Needham, MA 02492
Phone (781) 449-0020
40 Walnut St
Ste 102
Wellesley Hills, MA 02481
Phone (781) 943-3000
40 Walnut St
Ste 201
Wellesley Hills, MA 02481
Phone (781) 235-1224
Interoperability endpoints
- holgerson.william.nwpc@direct.partners.masshiway.net
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Wellesley, MA
- NPI 1003911579
-
- Durable Medical Equipment & Medical Supplies
- Wellesley, MA
- NPI 1740905876
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newton, MA
- NPI 1083644017
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1356445829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WALNUT STREET",
"address_2": "SUITE 201",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024812102",
"telephone_number": "781-235-1224",
"fax_number": "781-235-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 WALNUT STREET",
"address_2": "SUITE 201",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024812102",
"telephone_number": "781-235-1224",
"fax_number": "781-235-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLGERSON",
"first_name": "WILLIAM",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "MA42491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2063905",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4104100003",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "445111087",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "61775",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "04-01896",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "706659",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD OF MA",
"identifier": "B33544",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.