William Parks Pillow, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Tupelo, MS
NPI 1659306124 · NPPES record last updated Jan 26, 2023
Key facts
- NPI
- 1659306124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 13958 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 6
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- 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, LLC
Tri-Vista Rehab, Inc.
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
- North Mississippi Medical Center
- Tishomingo Health Services Inc
- Magnolia Regional Health Center
- Pontotoc Health Service Inc Cah
- North Mississippi Medical Center-Gilmore Amory
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 21 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 26 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 34 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Redmed LLC |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (13.75%) Corporate Director |
Dec 1, 2013 Dec 1, 2013 |
| Redmed LLC |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (13.75%) Corporate Director |
Dec 1, 2013 Dec 1, 2013 |
| Redmed LLC |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (13.75%) Corporate Director |
Dec 1, 2013 Dec 1, 2013 |
| Redmed LLC |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (13.75%) Corporate Director |
Dec 1, 2013 Dec 1, 2013 |
| Redmed LLC |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (13.75%) Corporate Director |
Dec 1, 2013 Dec 1, 2013 |
| Redmed LLC |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (13.75%) Corporate Director |
Dec 1, 2013 Dec 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040826001173 | MS | Practitioner - Orthopedic Surgery |
4981506763 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients | |
| Orthopaedic Institute of North Mississippi, LLC | Orthopaedic Surgery | Current |
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
- williampillow@nmhs.medalliesdirect.net
- williampillow@oa.exscribedirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 13958 | MS | |
| Orthopaedic Trauma Physician | 207XX0801X | 13958 | MS | |
| Orthopaedic Surgery Physician | 207X00000X | 13958 | MS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00123643 | Medicaid | MS | |
| 02629297 | Medicaid | MS |
Other providers in Tupelo, MS
- Kellie Elizabeth Pickens
- Ashley Pickering
- Shontel K Pierce
- Ednord Pierre
- Charles Gregory Pigott
- Ruby Jean Pinson
- Terry Wesley Pinson
- Jessica Kathryn Pippin
- Sonya N. Pippins
- Diamond Pittman
All providers in Tupelo, MS · Orthopaedic Surgery Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.