Individual provider Active NPI

William N. Haller III, MD

  • Orthopaedic Surgery Physician
  • Gadsden, AL
National Provider Identifier
1437194438
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20053 Issued in AL
Practice address
100 Medical Center Dr.
Suite 101
Gadsden, AL 35903-1130
Phone
(256) 492-8590
Fax
(256) 492-4498
NPI assigned
Jun 17, 2006
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 20053 AL Primary

Addresses

Primary practice location

100 Medical Center Dr.
Suite 101
Gadsden, AL 35903-1130

Mailing address

100 Medical Center Dr.
Suite 101
Gadsden, AL 35903-1130
Phone (256) 492-8590

Other identifiers 3

IdentifierTypeStateIssuer
9993800MedicaidAL
51509623OtherALBCBS AL
009993800MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address william.haller.iii.1@1831.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100920000924 AL Practitioner - Orthopedic Surgery 6204951890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Alabama School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gadsden Regional Physician Group Practice LLCGroup PAC ID 1254497670, 31 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Suite 101
Gadsden, AL 35903-1130
Phone (256) 413-6293

1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 494-4000

2001 Cades Ave SW
Fort Payne, AL 35968-3554
Phone (256) 492-7404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement35
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)26
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gadsden Regional Physician Group Practice LLC CurrentSince Aug 8, 2018 Accepting new patients
Allergy Associates, Inc Past Accepting new patients
Gadsden Regional Primary Care LLC Past Accepting new patients

Locations

100 Medical Center Dr
Ste 101
Gadsden, AL 35903
Phone (205) 453-4195

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

3212 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-7683

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1831/brand/1/csg/25/fhir/r4
  • Direct secure messaging: william.haller.iii.1@1831.direct.athenahealth.com

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.

Hospital & facility affiliations 5

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1437194438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR.",
            "address_2": "SUITE 101",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031130",
            "telephone_number": "256-492-8590",
            "fax_number": "256-492-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR.",
            "address_2": "SUITE 101",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031130",
            "telephone_number": "256-492-8590",
            "fax_number": "256-492-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "WILLIAM",
        "middle_name": "N.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-10-01",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "20053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9993800",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51509623",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009993800",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.haller.iii.1@1831.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 Medical Center Dr.",
            "address_2": "Suite 101",
            "city": "Gadsden",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359031130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.