NPIMap

Individual provider Active NPI

William J Crowley III, D.O.

  • Family Medicine Physician
  • Port Lavaca, TX
National Provider Identifier
1609870161
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K8099 Issued in TX
Practice address
1016 N Virginia St
Port Lavaca, TX 77979-3000
Phone
(361) 552-0325
Fax
(361) 500-6904
NPI assigned
Jun 11, 2005
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K8099 TX Primary
Obstetrics & Gynecology Physician 207V00000X K8099 TX

Addresses

Primary practice location

1016 N Virginia St
Port Lavaca, TX 77979-3000

Mailing address

815 N Virginia St
Port Lavaca, TX 77979-3025
Phone (361) 552-0325

Other practice location 1

815 N Virginia St
Port Lavaca, TX 77979-3025
Phone (361) 552-0325

Other identifiers 3

IdentifierTypeStateIssuer
107606901MedicaidTX
043130602MedicaidTX
1811926991MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040913000498 TX Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 4981671732 Reassigns benefits to 3 organizations
Practice locations: Port Lavaca, TX

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Medical CenterGroup PAC ID 3072403096, 16 clinicians

Practice addresses (Care Compare)

1016 N Virginia St
Port Lavaca, TX 77979-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy37
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8099TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Care Consultants of Corpus Christi CurrentSince Feb 27, 2025 Accepting new patients
Ess of Port Lavaca LLC CurrentSince Oct 1, 2021 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Covenant Health System Past Accepting new patients
Greater Gulf Health Plan, LLC Past Accepting new patients
Memorial Medical Center Past Accepting new patients

Locations

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lavaca Bay Nursing and Rehabilitation CenterPort Lavaca, TX, CCN 676481 Skilled nursing facility Corporate Officer Apr 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1609870161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779793025",
            "telephone_number": "361-552-0325",
            "fax_number": "361-552-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779793000",
            "telephone_number": "361-552-0325",
            "fax_number": "361-500-6904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Port Lavaca",
            "state": "TX",
            "postal_code": "779793025",
            "country_code": "US",
            "telephone_number": "361-552-0325",
            "fax_number": "361-552-0230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-11",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K8099",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K8099",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107606901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043130602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811926991",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Lavaca, TX

Sources for this page

Verify at the official NPI Registry.