Active NPI
William B Liles, M.D.
- Surgery Physician
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 202468
- Practice address
- 312 Grammont Street
Suite 303
Monroe, LA 71201 - Phone
- (318) 398-2984
- Fax
- (318) 398-2413
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 202468 | LA | Primary |
Addresses
Primary practice location
312 Grammont Street
Suite 303
Monroe, LA 71201
Mailing address
312 Grammont Street
Suite 303
Monroe, LA 71201
Phone (318) 398-2984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1079294 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130306000350 | LA | Practitioner - General Surgery | 1052566585 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Louisiana State University School of Medicine in New Orleans, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
312 Grammont St
Suite 303
Monroe, LA 71201-7403
Phone (318) 398-2984
Hospital & facility affiliations
- Fmol Health St Francis
- Richardson Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 16 |
| Mastectomy | 1-10 |
| Varicose vein removal | 166 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Surgery Clinic of Northeast Louisiana LLC | Surgery | Current | Accepting new patients |
| Affinity Health Group, LLC | Surgery | Current | Accepting new patients |
| Brfhh Monroe LLC | Current | Accepting new patients | |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Surgery | Current | Accepting new patients |
| Affinity Health Group, LLC | Current | Accepting new patients | |
| Brfhh Monroe LLC | Current | Accepting new patients | |
| St Francis Medical Center, Inc | Past | Accepting new patients | |
| Walter M Sartor MD AMC | Surgery | Past | Accepting new patients |
| P & S Surgery Center LLC | Past | Accepting new patients |
Locations
4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000
130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875
312 Grammont St
Ste 303
Monroe, LA 71201
Phone (318) 322-9882
2516 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 322-1161
2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
Interoperability endpoints
- wliles16290@direct.casso.us.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Fmol Health| St. Francis | Hospital | Corporate Officer | Jan 1, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
Corporate Officer
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Monroe, LA
- NPI 1336622158
LA, Surgery
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
LA, Surgery
-
- Orthopaedic Surgery Physician
- Monroe, LA
- NPI 1861879249
-
- Psychiatric Hospital Unit
- Monroe, LA
- NPI 1255761151
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1275577686
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rayville, LA
- NPI 1255370144
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1710197033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 GRAMMONT STREET",
"address_2": "SUITE 303",
"city": "MONROE",
"state": "LA",
"postal_code": "71201",
"telephone_number": "318-398-2984",
"fax_number": "318-398-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 GRAMMONT STREET",
"address_2": "SUITE 303",
"city": "MONROE",
"state": "LA",
"postal_code": "71201",
"telephone_number": "318-398-2984",
"fax_number": "318-398-2413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILES",
"first_name": "WILLIAM",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "202468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1079294",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.