Active NPI
William A. Gates, M.D.
- Diagnostic Radiology Physician
- Louisville, KY
National Provider Identifier
1588695977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 18543
- Practice address
- One Audubon Plaza Dr
Radiology
Louisville, KY 40217 - Phone
- (502) 636-7774
- NPI assigned
- Jul 5, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 18543 | KY | Primary |
Addresses
Primary practice location
One Audubon Plaza Dr
Radiology
Louisville, KY 40217
Mailing address
450 Executive Park
Louisville, KY 40207-4204
Phone (502) 897-3214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64185432 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSF PLLC | Past | Accepting new patients | |
| Medical Imaging Consultants, PSC | Diagnostic Radiology | Past | Accepting new patients |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Kentuckiana Emergency Physicians, PLLC | Past | Accepting new patients |
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.
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- NPI 1639115447
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1710981311
-
- Allergy & Immunology Physician
- Louisville, KY
- NPI 1881785947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588695977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 EXECUTIVE PARK",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074204",
"telephone_number": "502-897-3214",
"fax_number": "502-897-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE AUDUBON PLAZA DR",
"address_2": "RADIOLOGY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40217",
"telephone_number": "502-636-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "WILLIAM",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "18543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64185432",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.