Individual provider Active NPI

William Fitzgerald Kendall Jr., M.D.

  • Surgery Physician
  • Largo, FL
National Provider Identifier
1619166535
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME100772 Issued in FL
Practice address
1301 2ND Ave SW
Largo, FL 33770-3120
Phone
(727) 587-7120
Fax
(727) 585-6850
NPI assigned
Oct 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 67761-20 WI
Surgery Physician 208600000X 2011-01105 NC
Surgery Physician 208600000X ME100772 FL Primary
Surgery Physician 208600000X 8180 SD

Addresses

Primary practice location

1301 2ND Ave SW
Largo, FL 33770-3120

Mailing address

6006 49TH Street North
Suite 310
St Petersburg, FL 33709-2149
Phone (727) 527-9779

Other practice location 1

472 Rankin Dr
Marion, NC 28752-6568
Phone (615) 372-8912

Other practice location 2

701 Doctors Dr Ste A
Kinston, NC 28501-1584
Phone (252) 775-5999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wkendall559903@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, WI, NC, VI, VA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20111213000174 SD Practitioner - General SurgeryPractitioner - Other (Physician) 1052484250 Reassigns benefits to 1 organization
I20171205001255 WI Practitioner - General Surgery 1052484250 Reassigns benefits to 1 organization
I20171214000764 NC Practitioner - General Surgery 1052484250 Reassigns benefits to 4 organizations
I20191010002486 VI Practitioner - General Surgery 1052484250 Reassigns benefits to 1 organization
I20250317000131 VA Practitioner - General Surgery 1052484250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Human Medicine, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Unc Rockingham Health Care IncGroup PAC ID 6800157181, 10 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians
Onslow Memorial Hospital IncGroup PAC ID 1456252899, 65 clinicians

Practice addresses (Care Compare)

117 E Kings Hwy
Eden, NC 27288-5201
Phone (336) 623-9711

204 Airport Rd
Kinston, NC 28504-8814
Phone (252) 775-5999

20486 Market St
Onancock, VA 23417-4309
Phone (757) 302-2700

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100772FLMDTransplant Surgery Physician
2011-01105NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jul 30, 2019 Accepting new patients
Monument Health Network, Inc. CurrentSince Sep 4, 2017 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Morehead Memorial Hospital Current Accepting new patients
Unc Rockingham Health Care, Inc. Surgery CurrentSince May 30, 2025 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jul 30, 2019 Accepting new patients
Riverside Physician Services, Inc. Surgery CurrentSince Jan 9, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Oct 15, 2017 Accepting new patients
Unc Physicians Network LLC CurrentSince May 27, 2025 Accepting new patients
Riverside Physician Services Inc CurrentSince Jan 9, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Oct 15, 2017 Accepting new patients
Unc Rockingham Health Care, Inc. Current Accepting new patients
Monument Health Network, Inc. CurrentSince Sep 4, 2017 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Unc Rockingham Health Care, Inc. Current Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 19, 2017 Accepting new patients
Unc Rockingham Health Care, Inc. Past Accepting new patients
West Florida Specialty Physicians LLC Past Accepting new patients
Lifelink Healthcare Institute Inc Transplant Surgery Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

700 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3614

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

204 Airport Rd
Kinston, NC 28504
Phone (252) 527-9928

701 Doctors Dr
Ste A
Kinston, NC 28501
Phone (252) 522-1626

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

20486 Market St
Onancock, VA 23417
Phone (757) 302-2700

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

Interoperability endpoints

  • Direct secure messaging: william.kendall@hca4.eclinicaldirectplus.com
  • Direct secure messaging: wkendall559903@direct.unc.nchie.net
  • Direct secure messaging: wkendall259049@direct.rivhs.com

Organizations & group practices 21

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.

View all 21

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1619166535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 49TH STREET NORTH",
            "address_2": "SUITE 310",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092149",
            "telephone_number": "727-527-9779",
            "fax_number": "727-522-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 2ND AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703120",
            "telephone_number": "727-587-7120",
            "fax_number": "727-585-6850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "472 Rankin Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287526568",
            "country_code": "US",
            "telephone_number": "615-372-8912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Doctors Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285011584",
            "country_code": "US",
            "telephone_number": "252-775-5999",
            "fax_number": "252-208-1647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "WILLIAM",
        "middle_name": "FITZGERALD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "67761-20",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2011-01105",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME100772",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SD",
            "license": "8180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wkendall559903@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "701 Doctors Dr Ste A",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285011584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.