Individual provider Active NPI

William Parks Pillow, M.D.

  • Orthopaedic Surgery Physician
  • Tupelo, MS
National Provider Identifier
1659306124
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
13958 Issued in MS
Practice address
499 Gloster Creek VLG
Suite G1
Tupelo, MS 38801-4600
Phone
(662) 377-6700
Fax
(662) 377-6706
NPI assigned
Jul 12, 2006
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 13958 MS
Orthopaedic Trauma Physician 207XX0801X 13958 MS
Orthopaedic Surgery Physician 207X00000X 13958 MS Primary

Addresses

Primary practice location

499 Gloster Creek VLG
Suite G1
Tupelo, MS 38801-4600

Mailing address

499 Gloster Creek VLG
Suite G1
Tupelo, MS 38801-4600
Phone (662) 377-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20040826001173 MS Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4981506763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Mississippi School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Institute of North Mississippi, LLCGroup PAC ID 7113914078, 10 clinicians
Tri-Vista Rehab, Inc.Group PAC ID 0345390308, shared by 3 NPIs, 26 clinicians

Practice addresses (Care Compare)

499 Gloster Creek VLG
Suite G1
Tupelo, MS 38801-4751
Phone (662) 377-2663

90 Clark Ave a
Tupelo, MS 38804-2801

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement21
Lower limb (leg) arthroscopy (minimally invasive joint repair)26
Upper limb (arm) arthroscopy (minimally invasive joint repair)34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13958MSMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients
Orthopaedic Institute of North Mississippi, LLC Orthopaedic Surgery CurrentSince Sep 19, 2019 Accepting new patients

Locations

499 Gloster Creek Vlg
Ste F1
Tupelo, MS 38801
Phone (662) 269-8006

499 Gloster Creek Vlg
Ste G1
Tupelo, MS 38801
Phone (662) 377-2663

Interoperability endpoints

  • Direct secure messaging: williampillow@nmhs.medalliesdirect.net
  • Direct secure messaging: williampillow@oa.exscribedirect.com

Ownership & related parties

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Redmed LLCPontotoc, MS, CCN A53849 Rural health clinic 5% Or Greater Indirect Ownership Interest (13.75%)
Corporate Director
Dec 1, 2013
Dec 1, 2013
Redmed LLCSenatobia, MS, CCN A53852 Rural health clinic 5% Or Greater Indirect Ownership Interest (13.75%)
Corporate Director
Dec 1, 2013
Dec 1, 2013
Redmed LLCNew Albany, MS, CCN A53854 Rural health clinic 5% Or Greater Indirect Ownership Interest (13.75%)
Corporate Director
Dec 1, 2013
Dec 1, 2013
Redmed LLCOxford, MS, CCN A53851 Rural health clinic 5% Or Greater Indirect Ownership Interest (13.75%)
Corporate Director
Dec 1, 2013
Dec 1, 2013
Redmed LLCBatesville, MS, CCN A53850 Rural health clinic 5% Or Greater Indirect Ownership Interest (13.75%)
Corporate Director
Dec 1, 2013
Dec 1, 2013
Redmed LLCFulton, MS, CCN A53853 Rural health clinic 5% Or Greater Indirect Ownership Interest (13.75%)
Corporate Director
Dec 1, 2013
Dec 1, 2013

Owned or controlled facilities with NPI records 6

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

Organizations & group practices 3

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 5

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1659306124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG",
            "address_2": "SUITE G1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014600",
            "telephone_number": "662-377-2663",
            "fax_number": "662-377-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG",
            "address_2": "SUITE G1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014600",
            "telephone_number": "662-377-6700",
            "fax_number": "662-377-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLOW",
        "first_name": "WILLIAM",
        "middle_name": "PARKS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-01-26",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MS",
            "license": "13958",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "MS",
            "license": "13958",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "13958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.