Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

William Michael Jackson, MD

Individual provider Anesthesiology Physician · NPI 1043577216

William Michael Jackson, MD practises Anesthesiology in New York, New York. Graduated from College of Physicians and Surgeons (Arkansas) in 2012, 14 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group. Licensed in New York.

Years since qualifying
14
Trained at
College of Physicians and Surgeons (Arkansas)
Licensed in
NY
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

630 W 168th St
New York, NY 10032-3725
Phone: (212) 305-2069
Fax: (212) 305-3204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 274685 (NY)

Record details

NPI number1043577216
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 12, 2012
Last updated in NPPESOctober 30, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolCOLLEGE OF PHYSICIANS AND SURGEONS (ARKANSAS)
Graduated 2012 (14 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients25
Services billed 27 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at North Shore - Lij Anesthesiology, PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1004 clinicians in the practice; 12 are shown here.

Other providers in New York