Individual provider Active NPI

William P Doherty, M.D.

  • Anesthesiology Physician
  • Lewes, DE
National Provider Identifier
1629419312
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C1-0012817 Issued in DE
Practice address
424 Savannah Rd
Lewes, DE 19958
Phone
(302) 645-3300
NPI assigned
Jul 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X C1-0012817 DE Primary

Addresses

Primary practice location

424 Savannah Rd
Lewes, DE 19958

Mailing address

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20181127001069 DE Practitioner - Anesthesiology 7416228929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York Medical College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Delaware LLCGroup PAC ID 8022428416, 125 clinicians

Practice addresses (Care Compare)

1941 Limestone Rd
Suite 113
Wilmington, DE 19808-5413
Phone (302) 633-9873

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0012817DEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Anesthesia Associates, PA Anesthesiology CurrentSince Oct 7, 2018 Accepting new patients
Northstar Anesthesia of Delaware, LLC Anesthesiology CurrentSince May 19, 2023 Accepting new patients

Locations

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

1941 Limestone Rd
Ste 113
Wilmington, DE 19808
Phone (302) 633-9873

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1629419312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581462",
            "telephone_number": "302-645-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "19958",
            "telephone_number": "302-645-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "WILLIAM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DE",
            "license": "C1-0012817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.