NPIMap

Individual provider Active NPI

William Victor Fattig, M.D.

  • Internal Medicine Physician
  • Alliance, NE
National Provider Identifier
1811071442
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21201 Issued in NE
Practice address
723 Flack Ave
Alliance, NE 69301-3514
Phone
(308) 225-4498
Fax
(308) 629-1499
NPI assigned
Oct 24, 2006
Last updated
Aug 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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 21201 NE Primary

Addresses

Primary practice location

723 Flack Ave
Alliance, NE 69301-3514

Mailing address

723 Flack Ave
Alliance, NE 69301-3514
Phone (308) 225-4498

Other identifiers 4

IdentifierTypeStateIssuer
200269730AOtherKSKANSAS MEDICAID
28D1030805OtherNECLIA
35808OtherNEMIDLANDS
P00181202OtherNERR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040828000016 NE Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family Practice 5799750287 Practice locations: Alliance, NE

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nebraska College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

723 Flack Ave
Alliance, NE 69301-3514
Phone (308) 225-4498

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21201NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Family Medicine LLC Past Accepting new patients
Craig D Bartruff M.D., P.C. Past Accepting new patients
Hansen Medical PC Past Accepting new patients
Hansen Medical PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: william.fattig.1@14347.direct.athenahealth.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 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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1811071442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 FLACK AVE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693013514",
            "telephone_number": "308-225-4498",
            "fax_number": "308-629-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 FLACK AVE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693013514",
            "telephone_number": "308-225-4498",
            "fax_number": "308-629-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTIG",
        "first_name": "WILLIAM",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "21201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS MEDICAID",
            "identifier": "200269730A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "28D1030805",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS",
            "identifier": "35808",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00181202",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, NE

Sources for this page

Verify at the official NPI Registry.