Individual provider Active NPI

William A. Purtill, M.D.

  • Vascular Surgery Physician
  • Garden City, NY
National Provider Identifier
1619950532
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
203061 Issued in NY
Practice address
990 Stewart Avenue
Suite L32
Garden City, NY 11530
Phone
(516) 466-0485
Fax
(516) 304-5394
NPI assigned
Nov 23, 2005
Last updated
Dec 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 203061-0 NY
Vascular Surgery Physician 2086S0129X 203061 NY Primary

Addresses

Primary practice location

990 Stewart Avenue
Suite L32
Garden City, NY 11530

Mailing address

990 Stewart Ave
Suite L32
Garden City, NY 11530
Phone (516) 466-0485

Other identifiers 1

IdentifierTypeStateIssuer
01753699MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070224000012 NY Practitioner - Vascular SurgeryPractitioner - General Surgery 7012019953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Medical Group at North Nassau, PCGroup PAC ID 7618154550, 36 clinicians
North Shore-Lij Medical Group at Huntington PCGroup PAC ID 7214357086, 46 clinicians

Practice addresses (Care Compare)

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 328-9800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.76 of 100Reported as individual
Quality
45.82
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal17
Leg revascularization (restoring blood flow)22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203061NYMDVascular Surgery Physician
203061-0NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical Group at Huntington PC Vascular Surgery CurrentSince Nov 24, 2025 Accepting new patients
North Shore Lij Medical Group at North Nassau, PC CurrentSince Nov 18, 2024 Accepting new patients
North Shore University Hospital Past Accepting new patients

Locations

990 Stewart Ave
Ste L32
Garden City, NY 11530
Phone (516) 466-0485

70 Glen St
Ste 200
Glen Cove, NY 11542
Phone (516) 484-7893

16501 Chapin Pkwy
Jamaica, NY 11432
Phone (718) 739-2523

300 Community Dr
Manhasset, NY 11030

2001 Marcus Ave
Ste S50
New Hyde Park, NY 11042
Phone (516) 355-2277

27005 76th Ave
North New Hyde Pk, NY 11040

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: williampurtill@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: williampurtill@wpmd.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1619950532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE",
            "address_2": "SUITE L32",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-466-0485",
            "fax_number": "516-304-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 STEWART AVENUE",
            "address_2": "SUITE L32",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-466-0485",
            "fax_number": "516-304-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURTILL",
        "first_name": "WILLIAM",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "203061-0",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "203061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01753699",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.