NPIMap

Individual provider Active NPI

William Jordan Windham, M.D.

  • Urology Physician
  • Starkville, MS
National Provider Identifier
1861832289
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25799 Issued in MS
Practice address
1207 Highway 182 W Ste B
Starkville, MS 39759-9013
Phone
(662) 324-1097
Fax
(662) 324-2412
NPI assigned
Jun 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X T-2733 MS
Urology Physician 208800000X 25799 MS Primary

Addresses

Primary practice location

1207 Highway 182 W Ste B
Starkville, MS 39759-9013

Mailing address

1207 Highway 182 W Ste B
Starkville, MS 39759-9013
Phone (662) 324-1097

Other identifiers 1

IdentifierTypeStateIssuer
03273011MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20180726003224 MS Practitioner - Urology 3779830385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Mississippi School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windham and Rentrop Urology PLLCGroup PAC ID 1254751605, 3 clinicians

Practice addresses (Care Compare)

1207 Hwy 182 W
Suite B
Starkville, MS 39759-9013
Phone (662) 324-1097

Hospital & facility affiliations

  • Baptist Memorial Hospital-Oktibbeha County Hospital, Starkville, MS, CCN 250050
  • Winston Medical Center Hospital, Louisville, MS, CCN 250027
  • Greenwood Leflore Hospital Hospital, Greenwood, MS, CCN 250099
  • BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100
  • Clay County Medical Corporation Hospital, West Point, MS, CCN 250067

Merit-based Incentive Payment System (MIPS)

Final score
23.38 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25799MSMDUrology Physician
T-2733MSMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windham and Rentrop Urology PLLC Urology CurrentSince Aug 1, 2020 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Windham and Rentrop Urology PLLC Current Accepting new patients
Oxford Urology Associates, PLLC Urology CurrentSince Aug 1, 2018 Accepting new patients

Locations

1604 Leflore Ave
Greenwood, MS 38930
Phone (662) 453-0532

1201 Medical Park Dr
Oxford, MS 38655
Phone (622) 234-1448

2168 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-1448

1207 Highway 182 W
Ste B
Starkville, MS 39759
Phone (662) 295-3296

Interoperability endpoints

  • Direct secure messaging: william.windham@scs-direct.glh.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1861832289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 HIGHWAY 182 W STE B",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397599013",
            "telephone_number": "662-324-1097",
            "fax_number": "662-324-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 HIGHWAY 182 W STE B",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397599013",
            "telephone_number": "662-324-1097",
            "fax_number": "662-324-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "WILLIAM",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-29",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "T-2733",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "25799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03273011",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.