NPIMap

Individual provider Active NPI

William R Dickerman, D.O.

  • Family Medicine Physician
  • East Norriton, PA
National Provider Identifier
1487668174
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006150L Issued in PA
Practice address
190 W Germantown Pike
Suite 155
East Norriton, PA 19401-1385
Phone
(610) 277-9040
Fax
(610) 277-7890
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS006150L PA Primary

Addresses

Primary practice location

190 W Germantown Pike
Suite 155
East Norriton, PA 19401-1385

Mailing address

190 W Germantown Pike
Suite 155
East Norriton, PA 19401-1385
Phone (610) 277-9040

Other identifiers 1

IdentifierTypeStateIssuer
0011443370008MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090504000162 PA Practitioner - Family Practice 9234287129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffersonville Family and Geriatric Medicine, LLCGroup PAC ID 6406904309, 3 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

190 W Germantown Pike
Suite 155
East Norriton, PA 19401-1383
Phone (610) 277-9040

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

  • Meadowood Home Health Agency Home health agency, Worcester, PA, CCN 397711
  • Jefferson Health at Home by Bayada Home health agency, Horsham, PA, CCN 397145
  • Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
  • Gentiva I Hospice, Blue Bell, PA, CCN 391622
  • Ascend Hospice Hospice, North Wales, PA, CCN 391643
  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Meadowood Nursing home, Lansdale, PA, CCN 395768
  • Ivory Wellness Center Nursing home, Norristown, PA, CCN 395446
  • Markley Rehabilitation and Healthcare Center Nursing home, Norristown, PA, CCN 395483

Merit-based Incentive Payment System (MIPS)

Final score
98.86 of 100Reported as apm
Quality
85.37
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS006150LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffersonville Family and Geriatric Medicine, LLC Family Medicine CurrentSince Mar 18, 2009 Accepting new patients
Enps Mercy Primary Care at Plymouth Meeting Family Medicine Past Accepting new patients
Markley Operator, LLC Past Accepting new patients
Ivory Wellness Center LLC Past Accepting new patients

Locations

1246 W Main St
#R
Norristown, PA 19401

1246 W Main St
Norristown, PA 19401
Phone (610) 272-6111

190 W Germantown Pike
Ste 155
Norristown, PA 19401
Phone (610) 229-9060

Interoperability endpoints

  • Direct secure messaging: drdickerman@fpjeff.medentdirect.com
  • Direct secure messaging: wdickerman@direct.meditouchehr.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1487668174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W GERMANTOWN PIKE",
            "address_2": "SUITE 155",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011385",
            "telephone_number": "610-277-9040",
            "fax_number": "610-277-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W GERMANTOWN PIKE",
            "address_2": "SUITE 155",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011385",
            "telephone_number": "610-277-9040",
            "fax_number": "610-277-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERMAN",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006150L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011443370008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.