Individual provider Active NPI

William B Holgerson, MD

  • Internal Medicine Physician
  • Wellesley, MA
National Provider Identifier
1356445829
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA42491 Issued in MA
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

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2063905MedicaidMA
4104100003OtherMACIGNA
445111087OtherMARAILROAD MEDICARE
61775OtherMAHARVARD PILGRIM HEALTH
04-01896OtherMAUNITED HEALTHCARE
706659OtherMATUFTS
B33544OtherMABLUESHIELD 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
Green means eligible to order or refer.

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 Home health agency, Newton, MA, CCN 227207
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA42491MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Wellesley Primary Care P C Internal Medicine CurrentSince Jul 1, 1978 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.