Individual provider Active NPI

William Randolph Procell, MD

  • Family Medicine Physician
  • Marrero, LA
National Provider Identifier
1750342598
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
016868 Issued in LA
Practice address
1220 Barataria Blvd
Marrero, LA 70072-3702
Phone
(504) 340-6711
Fax
(504) 348-3935
NPI assigned
Mar 31, 2006
Last updated
Aug 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 016868 LA Primary

Addresses

Primary practice location

1220 Barataria Blvd
Marrero, LA 70072-3702

Mailing address

PO Box 1819
Marrero, LA 70073-1819
Phone (504) 340-6711

Other identifiers 1

IdentifierTypeStateIssuer
1329118MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331000751 LA Practitioner - Family PracticePractitioner - General Practice 5496658056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
90.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016868LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westcare Medical Center, Inc CurrentSince Oct 1, 1992 Accepting new patients

Locations

1220 Barataria Blvd
Marrero, LA 70072
Phone (504) 340-6711

Interoperability endpoints

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1750342598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1819",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700731819",
            "telephone_number": "504-340-6711",
            "fax_number": "504-348-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723702",
            "telephone_number": "504-340-6711",
            "fax_number": "504-348-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCELL",
        "first_name": "WILLIAM",
        "middle_name": "RANDOLPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "016868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1329118",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.