Individual provider Active NPI

William S Cantwell, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Alexandria, LA
National Provider Identifier
1851592075
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD.201136 Issued in LA
Practice address
211 4TH St
Emcare
Alexandria, LA 71301-8421
Phone
(727) 533-8707
Fax
(727) 507-3618
NPI assigned
May 29, 2007
Last updated
Mar 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.201136 LA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD.201136 LA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X N3533 TX

Addresses

Primary practice location

211 4TH St
Emcare
Alexandria, LA 71301-8421

Mailing address

18167 US Highway 19 N
Suite 650
Clearwater, FL 33764-3528
Phone (727) 533-8707

Other identifiers 7

IdentifierTypeStateIssuer
181274001MedicaidAR
09281MedicaidLA
208430302MedicaidTX
TIN PLUS 042OtherTXTRICARE
8V3851OtherTXBCBS
1092819MedicaidLA
208430301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090223000630 LA Practitioner - Internal Medicine 4284799479 Reassigns benefits to 1 organization
I20091209000404 TX Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 4284799479 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Texas Intensivists, PLLCGroup PAC ID 5092167528, 48 clinicians

Practice addresses (Care Compare)

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 593-8441

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.201136LAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Physician Services, PLLC Critical Care Medicine CurrentSince Apr 10, 2024 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Oct 1, 2009 Accepting new patients
Northeast Texas Intensivists, PLLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 1, 2009 Accepting new patients
WK Bossier Pulmonary & Critical Care Clinic Critical Care Medicine PastSince Jul 1, 2007 Accepting new patients
Hynson Bayou Inpatient Services LLC Past Accepting new patients
Hospitalist Medicine Physicians of Rapides Parish, LLC Internal Medicine Past Accepting new patients
Mother Frances Hospital Regional Health Care Center Past Accepting new patients
WKB Family Medicine Associates Past Accepting new patients

Locations

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

800 E Dawson St
Fl 4
Tyler, TX 75701
Phone (903) 531-4080

Organizations & group practices 10

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 1

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1851592075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18167 US HIGHWAY 19 N",
            "address_2": "SUITE 650",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643528",
            "telephone_number": "727-533-8707",
            "fax_number": "727-507-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "address_2": "EMCARE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "727-533-8707",
            "fax_number": "727-507-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTWELL",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.201136",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "LA",
            "license": "MD.201136",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "N3533",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181274001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09281",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208430302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "TIN PLUS 042",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V3851",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1092819",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208430301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.