Individual provider Active NPI

William Henry Minnix, M.D.

  • Internal Medicine Physician
  • South Pasadena, FL
National Provider Identifier
1386660496
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME36772 Issued in FL
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
039785700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525000788 FL Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Emergency Medicine 9133100332

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency 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

LicenseStateTypeSpecialty
ME0036772FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.