Active NPI
William A Wahl, MD
- Internal Medicine Physician
- Melbourne, FL
National Provider Identifier
1447236559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME87196
- Practice address
- 1223 Gateway Dr Ste 1C
Melbourne, FL 32901-2607 - Phone
- (321) 312-3454
- Fax
- (321) 727-8761
- NPI assigned
- Dec 20, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME87196 | FL | Primary |
Addresses
Primary practice location
1223 Gateway Dr Ste 1C
Melbourne, FL 32901-2607
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015740800 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500
Hospital & facility affiliations
- Health First Home Care
- Concierge Home Care
- Trilogy Home Healthcare
- Holmes Regional Medical Center
- Viera Hospital
- Palm Bay Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.79 of 100
- Quality
- 86.5
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME87196 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Health First Medical Group, LLC | Current | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677
1223 Gateway Dr
Ste 1C
Melbourne, FL 32901
Phone (321) 728-6072
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
Interoperability endpoints
- wwahl23007@epicdirect.hf.org
Organizations & group practices 2
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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Internal Medicine
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Health First Home Care
- Home Health Agency
- Melbourne, FL
- NPI 1922006956
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1447236559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 GATEWAY DR STE 1C",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012607",
"telephone_number": "321-312-3454",
"fax_number": "321-727-8761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHL",
"first_name": "WILLIAM",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME87196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015740800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
- Rebecca A Wagaman, M.D.
- Donald C Wagner, M.D.
- Gisela L Wagner, MD
- Kathleen Mary Wagner, ARNP
- Kristin Wagner, P.A.
- Valerie Waight
- Annmarie Veronica Waite, A.R.N.P.
- Wal-Mart Stores East LP (Walmart Pharmacy 10-5365)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-5366)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1702)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.