Individual provider Active NPI

William Francis McNierney Jr., DPM

  • Podiatrist
  • Elwood, IL
National Provider Identifier
1902963010
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004055 Issued in IL
Practice address
209 Woodbine Dr
Elwood, IL 60421-6029
Phone
(815) 600-9780
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016004055 IL Primary

Addresses

Primary practice location

209 Woodbine Dr
Elwood, IL 60421-6029

Mailing address

209 Woodbine Dr
Elwood, IL 60421-6029
Phone (815) 600-9780

Other identifiers 2

IdentifierTypeStateIssuer
016004055MedicaidIL
P00333439OtherILPALMETTO GBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810000358 IL Practitioner - Podiatry 9537131727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

209 Woodbine Dr
Elwood, IL 60421-6029
Phone (815) 600-9780

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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.

Practice roles

OrganizationSpecialtyStatusNew patients
McNierney Podiatry, P.C. CurrentSince May 1, 2004 Accepting new patients

Locations

1251 E Richton Rd
Crete, IL 60417
Phone (708) 367-4414

345 Dixie Hwy
South Chicago Heights, IL 60411
Phone (708) 754-7601

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1902963010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WOODBINE DR",
            "city": "ELWOOD",
            "state": "IL",
            "postal_code": "604216029",
            "telephone_number": "815-600-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WOODBINE DR",
            "city": "ELWOOD",
            "state": "IL",
            "postal_code": "604216029",
            "telephone_number": "815-600-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNIERNEY",
        "first_name": "WILLIAM",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004055",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00333439",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elwood, IL

Sources for this page

Verify at the official NPI Registry.