Individual provider Active NPI

William Kristian Andersen, M.D.

  • Orthopaedic Surgery Physician
  • Cary, NC
National Provider Identifier
1700850195
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
9600842 Issued in NC
Practice address
1120 SE Cary Pkwy
Suite 100
Cary, NC 27518-7413
Phone
(919) 467-4992
Fax
(919) 481-9607
NPI assigned
Feb 14, 2006
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 9600842 NC Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 9600842 NC

Addresses

Primary practice location

1120 SE Cary Pkwy
Suite 100
Cary, NC 27518-7413

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442
Phone (919) 467-4992

Other identifiers 7

IdentifierTypeStateIssuer
1700850195MedicaidNC
5406276OtherNCAETNA PPO
2111516OtherNCUNITED HEALTHCARE
2350709OtherNCAETNA HMO
2076472OtherNCFIRST HEALTH
NNF119L103OtherNCMEDICARE
11124OtherNCBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wandersen227940@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100127000797 NC Practitioner - Orthopedic Surgery 7911049077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

101 Lattner CT
Morrisville, NC 27560-9584

101 SW Cary Pkwy
Suite 10
Cary, NC 27511-5562
Phone (919) 467-7678

1120 SE Cary Pkwy
Cary, NC 27518-7413

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.41 of 100Reported as group
Quality
76.58
Promoting interoperability
100
Improvement activities
40
Cost
78.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement58
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Group Practices II, LLC Sports Medicine CurrentSince Feb 3, 2021 Accepting new patients
Unc Physicians Group Practices II, LLC Orthopaedic Surgery CurrentSince Feb 3, 2021 Accepting new patients
Cary Orthopaedic and Sports Medicine Specialists, P.a. PastSince Aug 19, 1996 Accepting new patients
Cary Orthopaedic and Sports Medicine Specialists, P.a. PastSince Aug 19, 1996 Accepting new patients

Locations

1110 SE Cary Pkwy
Ste 103
Cary, NC 27518
Phone (919) 297-0000

1120 SE Cary Pkwy
Ste 100
Cary, NC 27518
Phone (919) 467-4992

600A Village Walk Dr
Holly Springs, NC 27540
Phone (919) 285-2157

101 Lattner Ct
Ste 200
Morrisville, NC 27560
Phone (919) 238-2400

101 Lattner Ct
Ste 300
Morrisville, NC 27560
Phone (919) 238-2400

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

Interoperability endpoints

  • Direct secure messaging: william.andersen@1100.chartlogic.direct-ci.com

Organizations & group practices 4

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 3

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1700850195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442",
            "telephone_number": "919-467-4992",
            "fax_number": "919-481-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SE CARY PKWY",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187413",
            "telephone_number": "919-467-4992",
            "fax_number": "919-481-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "WILLIAM",
        "middle_name": "KRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "9600842",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NC",
            "license": "9600842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700850195",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5406276",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2111516",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2350709",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2076472",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NNF119L103",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11124",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wandersen227940@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1120 SE Cary Pkwy",
            "address_2": "Suite 100",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275187413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.