Active NPI
William O Hartzell, M.D.
- Pulmonary Disease Physician
- Westborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101239857
- Practice address
- 150 Flanders Rd
Westborough, MA 01581-1017 - Phone
- (508) 871-2000
- NPI assigned
- Nov 10, 2005
- Reactivated
- Feb 18, 2019
- Last updated
- Feb 18, 2019
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 0101239857 | VA | Primary |
Addresses
Primary practice location
150 Flanders Rd
Westborough, MA 01581-1017
Mailing address
PO Box 62
Turnpike Station
Shrewsbury, MA 01545-0062
Phone (508) 334-8815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0164861 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Virginia School of Medicine, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3650 Joseph Siewick Dr
Suite 303
Fairfax, VA 22033-1714
Phone (703) 389-1027
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101239857 | VA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax Lung Center PC | Pulmonary Disease | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Umass Memorial Medical Group Inc | Past | Accepting new patients |
Locations
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3650 Joseph Siewick Dr
Ste 303
Fairfax, VA 22033
Phone (703) 262-0906
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Fair Oaks Hospital
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1417938986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62",
"address_2": "TURNPIKE STATION",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015450062",
"telephone_number": "508-334-8815",
"fax_number": "508-334-5374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 FLANDERS RD",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015811017",
"telephone_number": "508-871-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZELL",
"first_name": "WILLIAM",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2019-02-18",
"deactivation_date": "2019-02-04",
"reactivation_date": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101239857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0164861",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.