Active NPI
William J Wittman, M.D.
- Internal Medicine Physician
- Falmouth, MA
National Provider Identifier
1891798724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 54719
- Practice address
- 10 Bramblebush Park
Falmouth, MA 02540-2325 - Phone
- (508) 540-1046
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 54719 | MA | Primary |
Addresses
Primary practice location
10 Bramblebush Park
Falmouth, MA 02540-2325
Mailing address
10 Bramblebush Park
Falmouth, MA 02540-2325
Phone (508) 540-1046
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00067055 | Other | MA | RAIL ROAD MEDICARE |
| 6251 | Other | MA | HARVARD PILGRIM |
| 376898 | Other | MA | PRIVATE HEALTHCARE SYSTEM |
| 715096 | Other | MA | TUFTS HEALTH PLAN |
| M18254 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0402434 | Other | MA | UNITED HEALTHCARE |
| 3256423 | Other | MA | AETNA |
| 6195016 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050325000106 | MA | Practitioner - Internal Medicine | 6305892001 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J & B Partnership LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Skilled Nursing Facility
- North Falmouth, MA
- NPI 1881774594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1891798724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BRAMBLEBUSH PARK",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025402325",
"telephone_number": "508-540-1046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BRAMBLEBUSH PARK",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025402325",
"telephone_number": "508-540-1046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTMAN",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "54719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00067055",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "6251",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "376898",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "715096",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "M18254",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0402434",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3256423",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6195016",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.