Individual provider Active NPI

William Kennedy Doemland, MD

  • Hospitalist Physician
  • Farmington, CT
National Provider Identifier
1396326443
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
077065 Issued in CT
Practice address
263 Farmington Ave
Farmington, CT 06030-8021
Phone
(860) 679-4477
Fax
(860) 679-1025
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 077065 CT
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X 077065 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-8021

Mailing address

263 Farmington Ave
Farmington, CT 06030-8082
Phone (860) 679-4477

Other practice location 1

555 Willard Ave
Newington, CT 06111-2631
Phone (866) 808-7921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723001480 CT Practitioner - Hospitalist 7214473586 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Connecticut Health CenterGroup PAC ID 3678472016, 624 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5121

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

300 Seaside Ave
Milford, CT 06460-4603
Phone (203) 301-6261

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-0549

Hospital & facility affiliations

  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • John Dempsey Hospital of the University of Connect Hospital, Farmington, CT, CCN 070036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
077065CTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
University of Connecticut Health Center CurrentSince Jul 12, 2024 Accepting new patients
University of Connecticut Health Center Internal Medicine CurrentSince Jul 12, 2024 Accepting new patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Nov 4, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Oct 1, 2024 Accepting new patients
Midstate Medical Center Current Accepting new patients
Mill Hill Medical Consultants Inc Hospitalist CurrentSince Nov 4, 2024 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Oct 1, 2024 Accepting new patients
Midstate Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Midstate Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Oct 1, 2024 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

263 Farmington Ave
Farmington, CT 06032
Phone (860) 679-1706

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

300 Seaside Ave
Milford, CT 06460
Phone (203) 876-4000

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: wdoemland692921@direct.ynhh.org
  • Direct secure messaging: william.doemland@xdr.hhchealthdirect.org

Organizations & group practices 12

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1396326443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308082",
            "telephone_number": "860-679-4477",
            "fax_number": "860-679-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308021",
            "telephone_number": "860-679-4477",
            "fax_number": "860-679-1025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Willard Ave",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "CT",
            "postal_code": "061112631",
            "country_code": "US",
            "telephone_number": "866-808-7921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOEMLAND",
        "first_name": "WILLIAM",
        "middle_name": "KENNEDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "077065",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "077065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.