Active NPI
William Troutman, MD
- Pediatric Cardiology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 15292
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (228) 392-7046
- NPI assigned
- Jun 25, 2006
- Last updated
- Sep 9, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | MD.12196R | LA | |
| Pediatric Cardiology Physician | 2080P0202X | 15292 | MS | Primary |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
2500 N State St
Jackson, MS 39216-4500
Phone (228) 392-7046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00122055 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- 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
- Cardiovascular Disease (Cardiology)
- Education
- University of Tennessee, HSC, College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (504) 842-4431
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.12196R | LA | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients |
Locations
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856
4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872
4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
Interoperability endpoints
- wtroutman@direct.mhg.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Bay Saint Louis, MS
- NPI 1538674239
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Urology Physician
- Gulfport, MS
- NPI 1093142598
-
dba Memorial Surgery Center Cedar Lake
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
-
- Internal Medicine Physician
- Gulfport, MS
- NPI 1740617232
-
dba Ochsner Health Center - Shepherd Square
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1003313180
-
dba Ochsner Urgent Care & Occupational Health - Diamondhead
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1316662059
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1538195805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "228-392-7046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "228-392-7046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROUTMAN",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "LA",
"license": "MD.12196R",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MS",
"license": "15292",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00122055",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.