NPIMap

Individual provider Active NPI

William Robert Bachman, M.D.

  • Cardiovascular Disease Physician
  • Jamaica Plain, MA
National Provider Identifier
1861452898
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
79148 Issued in MA
Practice address
1153 Centre St
Suite 4930
Jamaica Plain, MA 02130-3446
Phone
(617) 983-7420
Fax
(617) 983-2488
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 79148 MA Primary

Addresses

Primary practice location

1153 Centre St
Suite 4930
Jamaica Plain, MA 02130-3446

Mailing address

23 Stearns St
Newton, MA 02459-2441
Phone (617) 630-8373

Other identifiers 1

IdentifierTypeStateIssuer
3168069MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210701001500 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3678526449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Pennsylvania State University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094
  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153
  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Cardiovascular Disease CurrentSince Jun 7, 2021 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Compass Medical PC Past Accepting new patients
Cambridge Hosp Prof Ser Cardiovascular Disease Past Accepting new patients
Cambridge Public Health Commission Past Accepting new patients
Albany Medical Center Hospital Past Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

178 Washington Avenue Ext
Albany, NY 12203
Phone (518) 262-5735

1365 Washington Ave
Ste 200
Albany, NY 12206
Phone (518) 264-1761

43 New Scotland Ave
Fl 2
Albany, NY 12208
Phone (818) 401-3193

1019 New Loudon Rd
Ste A101
Cohoes, NY 12047

6 Medical Park Dr
Ste 203
Malta, NY 12020
Phone (518) 264-1200

Interoperability endpoints

  • Direct secure messaging: wbachman20964@albanymed.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1861452898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 STEARNS ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592441",
            "telephone_number": "617-630-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "SUITE 4930",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-983-7420",
            "fax_number": "617-983-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMAN",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "79148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3168069",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

Verify at the official NPI Registry.