Active NPI
William Henry Minnix, M.D.
- Internal Medicine Physician
- South Pasadena, FL
National Provider Identifier
1386660496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME36772
- Practice address
- 1615 Pasadena Ave S
Suite 430
South Pasadena, FL 33707-4516 - Phone
- (727) 397-0606
- Fax
- (727) 397-6161
- NPI assigned
- Jul 14, 2006
- Last updated
- Feb 9, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME0036772 | FL | |
| Internal Medicine Physician | 207R00000X | ME0036772 | FL | |
| Internal Medicine Physician | 207R00000X | ME36772 | FL | Primary |
Addresses
Primary practice location
1615 Pasadena Ave S
Suite 430
South Pasadena, FL 33707-4516
Mailing address
1615 Pasadena Ave S
Suite 430
South Pasadena, FL 33707-4516
Phone (727) 397-0606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039785700 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | WILLIAM.MINNIX@hca4.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040525000788 | FL | Practitioner - Internal Medicine | 9133100332 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Florida College of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1615 Pasadena Ave S
Suite 430
Saint Petersburg, FL 33707-4521
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0036772 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet Contracting Services LLC | Emergency Medicine | Past | Accepting new patients |
| Palms of Pasadena Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Mary J King DO PA | Internal Medicine | Past | Accepting new patients |
| Mid Pinellas Medical Center Inc | Past | Accepting new patients |
Interoperability endpoints
- william.minnix@hca4.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Internal Medicine Physician
- Largo, FL
- NPI 1285000125
-
- Clinic/Center
- Clearwater, FL
- NPI 1619058641
-
- Emergency Medicine Physician
- South Pasadena, FL
- NPI 1164436341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1386660496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 PASADENA AVE S",
"address_2": "SUITE 430",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337074516",
"telephone_number": "727-397-0606",
"fax_number": "727-397-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 PASADENA AVE S",
"address_2": "SUITE 430",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337074516",
"telephone_number": "727-397-0606",
"fax_number": "727-397-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNIX",
"first_name": "WILLIAM",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME0036772",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0036772",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME36772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039785700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "WILLIAM.MINNIX@hca4.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1615 Pasadena Ave S",
"address_2": "SUITE 430",
"city": "South Pasadena",
"state": "FL",
"country_code": "US",
"postal_code": "337074516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Pasadena, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.