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WILLOW PARTNERS MEDICAL CORP
NPI 1942338827
Colon & Rectal Surgery in Pomona, CA

Active since March 01, 2007
155 W WILLOW ST, POMONA, CA 91768(909) 865-2626(909) 865-2010 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Willow Partners Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW PARTNERS MEDICAL CORP (NPI 1942338827) is a healthcare organization registered as a colon & rectal surgery in Pomona, California and active in the NPI registry since March 2007. The organization lists Autar K Wali, Owner, as its authorized official.

NPPES Registry Identity

NPI1942338827
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameWILLOW PARTNERS MEDICAL CORP
Location Address155 W WILLOW STPomona, CA 91768-1829
Mailing Address155 W Willow StPomona, CA 91768-1829 · (909) 865-2626 · Fax (909) 865-2010
Phone(909) 865-2626
Fax(909) 865-2010
Organization SubpartNo
Authorized OfficialAutar K WaliOwner · (909) 865-2626
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 15, 2010
✔ NPI 1942338827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in CA · A32290
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
155 W WILLOW ST, Pomona, CA 91768
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Other Identifiers 4

Medicare PINWA32290C
Medicare UPINA26752CA
Medicare ID-Type UnspecifiedW14262CA
MedicaidGR0081880CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willow Partners Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050606000328Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Willow Partners Medical Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Autar Wali, M.D.
General Surgery
NPI 1164601449
155 W WILLOW ST
Pomona, CA 91768
(909) 865-2626
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willow Partners Medical Corp's NPI number?

The NPI number for Willow Partners Medical Corp is 1942338827. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Willow Partners Medical Corp located?

Willow Partners Medical Corp is located at 155 W Willow St, Pomona, CA 91768. The listed phone number is (909) 865-2626.

What is Willow Partners Medical Corp's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Willow Partners Medical Corp enrolled in Medicare?

Yes. Willow Partners Medical Corp is registered in the Medicare PECOS enrollment system.

When is Willow Partners Medical Corp's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Willow Partners Medical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Willow Partners Medical Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Willow Partners Medical Corp was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.