Individual provider Active NPI

William John Littman, MD

  • Internal Medicine Physician
  • Lebanon, TN
National Provider Identifier
1750389607
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD18135 Issued in TN
Practice address
1419 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone
(615) 444-0465
Fax
(615) 444-0478
NPI assigned
Jul 13, 2005
Last updated
Mar 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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 MD18135 TN Primary

Addresses

Primary practice location

1419 W Baddour Pkwy
Lebanon, TN 37087-2513

Mailing address

1419 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone (615) 444-0465

Other identifiers 3

IdentifierTypeStateIssuer
3028064MedicaidTN
4018849OtherTNBLUE CROSS BLUE SHIELD TN
110232534OtherTNRAILROAD MEDICARE PROV #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100526000369 TN Practitioner - Internal Medicine 9830228089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William J Littman MD PCGroup PAC ID 0042349292, 3 clinicians

Practice addresses (Care Compare)

1419 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone (615) 444-0465

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18135TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William J Littman MD PC Internal Medicine CurrentSince Jan 1, 2002 Accepting new patients
Lebanon Hma, LLC Past Accepting new patients

Locations

1419 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 420-5390

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 7

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1750389607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 W BADDOUR PKWY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872513",
            "telephone_number": "615-444-0465",
            "fax_number": "615-444-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 W BADDOUR PKWY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872513",
            "telephone_number": "615-444-0465",
            "fax_number": "615-444-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTMAN",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD18135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3028064",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4018849",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV #",
            "identifier": "110232534",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.