William Joseph Wall III, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME94641 Issued in FL

Practice address

9582 W Colonial Dr
Ocoee, FL 34761-6992

Phone

(407) 896-3055

Fax

(407) 865-6012

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, FL, PR3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

University of Alabama School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Howard John Simon MD PCGroup PAC ID 1658602263, 36 clinicians

Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Health Diagnostics of California a Professional CorporationGroup PAC ID 4284621525, 176 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.43 of 100Reported as group

Quality

82.86

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

79.36 of 100Reported as group

Quality

75.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

80.3 of 100Reported as group

Quality

75.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

79.36 of 100Reported as group

Quality

75.71

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 26)

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GBCHBA

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.

• Howard John Simon MD PC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1932768934

  FL, PR

  Medicare reassignment Care Compare group NPD
• Simonmed Imaging Florida LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1477830818

  PR

  Medicare reassignment Care Compare group
• Health Diagnostics of California a Professional Corporation

  • Diagnostic Radiology Physician
  • Mountain View, CA
  • NPI 1104321959

  PR

  Medicare reassignment Care Compare group
• Smi Imaging, LLC

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1972004489

  PR

  Medicare reassignment Care Compare group
• Emil H Annabi MD PC

  • Anesthesiology Physician
  • Tucson, AZ
  • NPI 1245635390
  Medicare reassignment NPD
• Renaissance Imaging Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Northridge, CA
  • NPI 1487608931

  FL

  Medicare reassignment NPD
• Simonmed Reno PLLC

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1306576145

  PR

  Medicare reassignment NPD
• Simonmed Imaging Florida LLC

  • Diagnostic Radiology Physician
  • Sanford, FL
  • NPI 1912576869
  NPD
• Cigna Health Care of Arizona Inc.

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1144391574
  NPD
• Cigna Healthcare of Arizona, Inc.

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1073626404
  NPD
• Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
  • NPI 1437292927

  Diagnostic Radiology

  NPD
• East Valley Diagnostic Imaging LLC

  • Mammography Clinic/Center
  • Mesa, AZ
  • NPI 1164434098
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1508844093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD",
            "address_2": "STE. 143",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322236",
            "telephone_number": "602-867-0404",
            "fax_number": "602-788-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9582 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616992",
            "telephone_number": "407-896-3055",
            "fax_number": "407-865-6012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4045 E. BELL RD.",
            "address_2": "STE. 143",
            "address_purpose": "LOCATION",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "country_code": "US",
            "telephone_number": "602-867-0404",
            "fax_number": "602-788-0893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALL",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "00025940",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A54648",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME94641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Brianna R Wallace
• Keith Wandolowski, CRNA
• Catherine Wang, MD
• Chad Michael Ward, APRN
• Carlene D. Waters-Hollingsworth, PA-C

• Diagnostic Radiology Physician in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.

Verify at the official NPI Registry.