Individual provider Active NPI

William J. Thrift, MD

  • Family Medicine Physician
  • Prescott, AZ
National Provider Identifier
1447214267
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14866 Issued in AZ
Practice address
1090 Commerce Dr
Prescott, AZ 86305-3700
Phone
(928) 771-3122
Fax
(928) 583-1142
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 14866 AZ
Family Medicine Physician 207Q00000X 14866 AZ Primary

Addresses

Primary practice location

1090 Commerce Dr
Prescott, AZ 86305-3700

Mailing address

1090 Commerce Dr
Prescott, AZ 86305-3700
Phone (928) 771-3122

Other identifiers 1

IdentifierTypeStateIssuer
253740MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040521000165 AZ Practitioner - Family Practice 5799776423 Reassigns benefits to 1 organization
Practice locations: Prescott, AZ

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Yavapai CurrentSince Apr 1, 2022 Accepting new patients
County of Yavapai Current Accepting new patients
County of Yavapai CurrentSince Apr 1, 2022 Accepting new patients
Susan B Kullman LTD Past Accepting new patients

Locations

1090 Commerce Dr
Prescott, AZ 86305
Phone (928) 583-1000

3212 N Windsong Dr
Ste 200
Prescott Vly, AZ 86314
Phone (928) 583-1000

Interoperability endpoints

  • Direct secure messaging: william.thriftmd.p1@direct.ycchs.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1447214267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 COMMERCE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053700",
            "telephone_number": "928-771-3122",
            "fax_number": "928-583-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 COMMERCE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053700",
            "telephone_number": "928-771-3122",
            "fax_number": "928-583-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRIFT",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AZ",
            "license": "14866",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "14866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253740",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.