Individual provider Active NPI

William Sargent Kaufman, MD

  • Dermatology Physician
  • Wilmington, NC
National Provider Identifier
1932498086
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2014-00569 Issued in NC
Practice address
6781 Parker Farm Dr
Suite 300
Wilmington, NC 28405-3160
Phone
(910) 763-1555
Fax
(910) 762-4726
NPI assigned
Mar 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2014-00569 NC Primary

Addresses

Primary practice location

6781 Parker Farm Dr
Suite 300
Wilmington, NC 28405-3160

Mailing address

6781 Parker Farm Dr
Suite 300
Wilmington, NC 28405-3160
Phone (910) 763-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150623000534 NC Practitioner - Dermatology 5991016602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Virginia Commonwealth University, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates PAGroup PAC ID 3971562083, 8 clinicians

Practice addresses (Care Compare)

6781 Parker Farm Dr
Suite 300
Wilmington, NC 28405-3161
Phone (910) 763-1555

Merit-based Incentive Payment System (MIPS)

Final score
93.37 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
77.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions2073
Removal or shaving of skin growth1-10
Skin biopsy381

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-00569NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates, PA Dermatology CurrentSince Aug 1, 2015 Accepting new patients

Locations

6781 Parker Farm Dr
Ste 300
Wilmington, NC 28405
Phone (910) 763-1555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1932498086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6781 PARKER FARM DR",
            "address_2": "SUITE 300",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053160",
            "telephone_number": "910-763-1555",
            "fax_number": "910-762-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 PARKER FARM DR",
            "address_2": "SUITE 300",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053160",
            "telephone_number": "910-763-1555",
            "fax_number": "910-762-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "WILLIAM",
        "middle_name": "SARGENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2014-00569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.