Active NPI
William James Wiley, DPM
- Podiatrist
- Tampa, FL
National Provider Identifier
1801834015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO3008
- Practice address
- 10506 Lucaya Dr
Tampa, FL 33647-3326 - Phone
- (813) 973-8560
- Fax
- (813) 973-8560
- NPI assigned
- Jun 2, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO3008 | FL | Primary |
Addresses
Primary practice location
10506 Lucaya Dr
Tampa, FL 33647-3326
Mailing address
10506 Lucaya Dr
Tampa, FL 33647-3326
Phone (813) 973-8560
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061658210 | Other | FL | TRICARE PROVIDER NUMBER |
| 65920 | Other | FL | BC/BS OF FL PROVIDER NUMB |
| N307018 | Other | FL | WELLCARE OF FL PROVIDER N |
| 340282700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050819000736 | FL | Practitioner - Podiatry | 4981634862 | Practice locations: Tampa, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10506 Lucaya Dr
Tampa, FL 33647-3326
Phone (813) 966-6617
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 16 |
| Removal of nail tissue | 120 |
| Removal or shaving of skin growth | 104 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1801834015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10506 LUCAYA DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473326",
"telephone_number": "813-973-8560",
"fax_number": "813-973-8560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10506 LUCAYA DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473326",
"telephone_number": "813-973-8560",
"fax_number": "813-973-8560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "WILLIAM",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO3008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER NUMBER",
"identifier": "061658210",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF FL PROVIDER NUMB",
"identifier": "65920",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE OF FL PROVIDER N",
"identifier": "N307018",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340282700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.