Individual provider Active NPI

William James Mugg, MD

  • Internal Medicine Physician
  • So Hadley, MA
National Provider Identifier
1689761959
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38722 Issued in MA
Practice address
96 Lyman St
So Hadley, MA 01075
Phone
(413) 533-7176
Fax
(413) 552-0181
NPI assigned
Oct 6, 2006
Last updated
Feb 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38722 MA Primary

Addresses

Primary practice location

96 Lyman St
So Hadley, MA 01075

Mailing address

96 Lyman St
South Hadley, MA 01075-2352
Phone (413) 533-7176

Other identifiers 1

IdentifierTypeStateIssuer
0158992MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050505000918 MA Practitioner - Internal Medicine 1254371552 Practice locations: South Hadley, MA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
41.57 of 100Reported as individual
Quality
35
Improvement activities
0
Cost
80.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38722MAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1689761959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 LYMAN ST",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010752352",
            "telephone_number": "413-533-7176",
            "fax_number": "413-552-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 LYMAN ST",
            "city": "SO HADLEY",
            "state": "MA",
            "postal_code": "01075",
            "telephone_number": "413-533-7176",
            "fax_number": "413-552-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGG",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "38722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158992",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in So Hadley, MA

Sources for this page

Verify at the official NPI Registry.