Individual provider Active NPI

William Clark Mitchell, M.D.

  • Urology Physician
  • McKinney, TX
National Provider Identifier
1689672271
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
F9835 Issued in TX
Practice address
4501 Medical Center Dr
Suite 100
MC Kinney, TX 75069-1651
Phone
(972) 548-8195
Fax
(972) 548-8866
NPI assigned
Jul 8, 2005
Last updated
May 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X F9835 TX Primary

Addresses

Primary practice location

4501 Medical Center Dr
Suite 100
MC Kinney, TX 75069-1651

Mailing address

4501 Medical Center Dr
Suite 100
MC Kinney, TX 75069-1651
Phone (972) 548-8195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040819000223 TX Practitioner - Urology 2860465564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical Branch at Galveston, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Dallas Urology AssociatesGroup PAC ID 5395710933, 12 clinicians

Practice addresses (Care Compare)

4501 Medical Ctr Dr
Suite 100
McKinney, TX 75069-6942
Phone (972) 548-8195

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Dallas Urology Associates Urology CurrentSince Mar 1, 2008 Accepting new patients

Locations

4501 Medical Center Dr
Ste 100
McKinney, TX 75069
Phone (972) 548-8195

5300 W Plano Pkwy
Ste 200
Plano, TX 75093
Phone (972) 612-8037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIFHAA

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

Hospital & facility affiliations 1

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1689672271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MEDICAL CENTER DR",
            "address_2": "SUITE 100",
            "city": "MC KINNEY",
            "state": "TX",
            "postal_code": "750691651",
            "telephone_number": "972-548-8195",
            "fax_number": "972-548-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MEDICAL CENTER DR",
            "address_2": "SUITE 100",
            "city": "MC KINNEY",
            "state": "TX",
            "postal_code": "750691651",
            "telephone_number": "972-548-8195",
            "fax_number": "972-548-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WILLIAM",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "F9835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.