NPIMap

Individual provider Active NPI

William Milton Entwistle, MD

  • Family Medicine Physician
  • Merced, CA
National Provider Identifier
1891174785
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A153095 Issued in CA
Practice address
3385 G St Ste a
Merced, CA 95340-0980
Phone
(097) 253-1222
Fax
(209) 725-3128
NPI assigned
May 25, 2015
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A153095 CA Primary

Addresses

Primary practice location

3385 G St Ste a
Merced, CA 95340-0980

Mailing address

PO Box 3768
Merced, CA 95344-3768
Phone (209) 725-7149

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address william.entwistle.1@3012.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180807003562 CA Practitioner - Family Practice 0244588200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

127 W El Portal Dr
Merced, CA 95348-2853
Phone (209) 723-3704

3385 G St
Suite a
Merced, CA 95340-0980
Phone (209) 725-3122

535 W 25TH St
Mfa Parkside Medical Clinic
Merced, CA 95340-2838
Phone (209) 722-9066

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A153095CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Merced Faculty Associates Medical Group Incorporated Family Medicine Current Accepting new patients
Merced Faculty Associates Medical Group Incorporated Family Medicine CurrentSince Jul 2, 2018 Accepting new patients
Dignity Health Past Accepting new patients

Locations

127 W El Portal Dr
Merced, CA 95348
Phone (209) 723-3704

220 E 13th St
Merced, CA 95341
Phone (209) 723-2122

3385 G St
Ste A
Merced, CA 95340
Phone (209) 725-3122

535 W 25th St
Merced, CA 95340
Phone (209) 722-9066

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 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": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1891174785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953443768",
            "telephone_number": "209-725-7149",
            "fax_number": "209-726-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 G ST STE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400980",
            "telephone_number": "097-253-1222",
            "fax_number": "209-725-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTWISTLE",
        "first_name": "WILLIAM",
        "middle_name": "MILTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-25",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A153095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.entwistle.1@3012.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3385 G St Ste A",
            "city": "Merced",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953400980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.