Individual provider Active NPI

William L Reno III, MD

  • Plastic Surgery Physician
  • Hattiesburg, MS
National Provider Identifier
1861580557
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
15450 Issued in MS
Practice address
40 Franklin Rd
Hattiesburg, MS 39402-1318
Phone
(601) 296-3405
Fax
(601) 296-3409
NPI assigned
Oct 10, 2006
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 15450 MS Primary

Addresses

Primary practice location

40 Franklin Rd
Hattiesburg, MS 39402-1318

Mailing address

40 Franklin Rd
Hattiesburg, MS 39402-1318
Phone (601) 296-3405

Other identifiers 1

IdentifierTypeStateIssuer
00127101MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051205000338 MS Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 3971523051 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of Mississippi School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Center of Hattiesburg, PLLCGroup PAC ID 6103921986, 3 clinicians
Wesley Physician Services LLCGroup PAC ID 2466559851, 42 clinicians

Practice addresses (Care Compare)

40 Franklin Rd
Hattiesburg, MS 39402-1318
Phone (601) 296-3405

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 268-8155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision38
Removal of tissue11
Removal of skin lesions1-10
Removal or shaving of skin growth15
Skin biopsy17

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Eye Surgery Center LLC CurrentSince Jul 1, 2020 Accepting new patients
Plastic Surgery Center of Hattiesburg, PLLC Plastic Surgery CurrentSince Jan 1, 2007 Accepting new patients
Southern Eye Surgery Center LLC CurrentSince Jul 1, 2020 Accepting new patients
Wesley Physician Services LLC CurrentSince Sep 1, 2012 Accepting new patients
PSCH, LLC Current Accepting new patients

Locations

1420 S 28th Ave
Hattiesburg, MS 39402
Phone (601) 264-3937

40 Franklin Rd
Hattiesburg, MS 39402
Phone (601) 296-3405

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4

Organizations & group practices 5

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1861580557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FRANKLIN RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021318",
            "telephone_number": "601-296-3405",
            "fax_number": "601-296-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FRANKLIN RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021318",
            "telephone_number": "601-296-3405",
            "fax_number": "601-296-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENO",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "15450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00127101",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.