Active NPI
Michael Williams, MD
- Family Medicine Physician
- Lanham, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0070342
- Practice address
- 4483 Forbes Blvd Ste a
Lanham, MD 20706-4377 - Phone
- (301) 284-8565
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TRN9181 | FL | |
| Family Medicine Physician | 207Q00000X | D0070342 | MD | Primary |
Addresses
Primary practice location
4483 Forbes Blvd Ste a
Lanham, MD 20706-4377
Mailing address
7416 Lake Glen Dr
Glenn Dale, MD 20769-2000
Other practice location 1
303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone (386) 254-4165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN9181 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phaeton Health Group LLC | Family Medicine | Current | Accepting new patients |
| Urgent Care Medicine, LLC | Current | Accepting new patients | |
| KH Medical LLC | Current | Accepting new patients |
Locations
3059 Solomons Island Rd
#F2
Edgewater, MD 21037
Phone (410) 956-3394
3059 Solomons Island Rd
Ste F2
Edgewater, MD 21037
Phone (410) 956-3394
4483 Forbes Blvd
Ste A
Lanham, MD 20706
Phone (240) 467-5732
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Edgewater, MD
- NPI 1174804918
-
- Adult Medicine Physician
- Lanham, MD
- NPI 1487298493
-
- Family Medicine Physician
- Linthicum Heights, MD
- NPI 1790291003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1003014838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7416 LAKE GLEN DR",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207692000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4483 FORBES BLVD STE A",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064377",
"telephone_number": "301-284-8565"
}
],
"practiceLocations": [
{
"address_1": "303 N Clyde Morris Blvd",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321142709",
"country_code": "US",
"telephone_number": "386-254-4165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "TRN9181",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0070342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.