William K Tilt, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

01059649 Issued in IN

Practice address

904 South St
Lafayette, IN 47901-1416

Phone

(765) 630-7222

Fax

(765) 630-7905

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Roundtable Wellness

  • Adult Mental Health Clinic/Center
  • Carmel, IN
  • NPI 1023739067
  NPD
• Licking Memorial Professional Corporation

  • Anesthesiology Physician
  • Newark, OH
  • NPI 1376585430
  NPD (past)
• Zanesville Anesthesia Physicians Inc

  • Anesthesiology Physician
  • Zanesville, OH
  • NPI 1982697546
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1891701751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78838",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482780838",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 SOUTH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479011416",
            "telephone_number": "765-630-7222",
            "fax_number": "765-630-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILT",
        "first_name": "WILLIAM",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01059649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Tidrick, RN
• Rock Gerard Tiffault, M.D.
• Andrea Leann Tiffin, APRN
• Madison Tilley
• Renee Michelle Tilt, RD, CSP, CD
• Amy Renee Timmons, RN
• Timothy J Pirnat MD Inc
• Arielle Rebecca Tingle, MS, LMHCA, NCC
• Tippecanoe County Auditor
• Tippecanoe Emergency Ambulance Service

• Anesthesiology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.