Active NPI
William W Ide, MD
- Pediatric Rehabilitation Medicine Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- 0101248009
- Practice address
- 1204 W Main St
Charlottesville, VA 22903-2824 - Phone
- (434) 924-5161
- NPI assigned
- Jun 16, 2009
- Last updated
- Sep 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101248009 | VA | |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 0101248009 | VA | Primary |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | D0091395 | MD |
Addresses
Primary practice location
1204 W Main St
Charlottesville, VA 22903-2824
Mailing address
PO Box 749112
Atlanta, GA 30374-9112
Phone (434) 295-1000
Other practice location 1
1215 Lee St
Charlottesville, VA 22908-2120
Phone (434) 924-5161
Other practice location 2
Kennedy Krieger Institute
707 North Broadway
Baltimore, MD 21205-2120
Phone (443) 923-9440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Maryland School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 Lee St
Charlottesville, VA 22908-2325
Phone (434) 924-8129
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.45 of 100
- Quality
- 79.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101248009 | VA | MD | Physical Medicine & Rehabilitation Physician |
| D0091395 | MD | MD | Pediatric Rehabilitation Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Kennedy Krieger Associates | Current | Accepting new patients | |
| Kennedy Krieger Associates | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
5501 Hopkins Bayview Cir
Baltimore, MD 21224
Phone (410) 550-0545
707 N Broadway
Baltimore, MD 21205
Phone (443) 923-1870
801 N Broadway
Baltimore, MD 21205
Phone (443) 923-2600
1204 W Main St
Charlottesville, VA 22903
Phone (434) 924-0123
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
545 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 243-0311
Interoperability endpoints
- wide305826@direct.healthsystem.virginia.edu
- wide442726@direct.hopkinsmedicine.org
Organizations & group practices 7
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.
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Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
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- General Acute Care Hospital
- Charlottesville, VA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1851528988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749112",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749112",
"telephone_number": "434-295-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 W MAIN ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229032824",
"telephone_number": "434-924-5161"
}
],
"practiceLocations": [
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229082120",
"country_code": "US",
"telephone_number": "434-924-5161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Kennedy Krieger Institute",
"address_2": "707 North Broadway",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212052120",
"country_code": "US",
"telephone_number": "443-923-9440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IDE",
"first_name": "WILLIAM",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-16",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0101248009",
"primary": false
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "VA",
"license": "0101248009",
"primary": true
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "MD",
"license": "D0091395",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.