Individual provider Active NPI

Michael K Williams, MD

  • Family Medicine Physician
  • Newton, KS
National Provider Identifier
1043229149
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22378 Issued in KS
Practice address
720 Medical Center Dr
Newton, KS 67114-8778
Phone
(316) 283-6103
Fax
(316) 283-1333
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22378 KS Primary

Addresses

Primary practice location

720 Medical Center Dr
Newton, KS 67114-8778

Mailing address

720 Medical Center Dr
Newton, KS 67114-8778
Phone (316) 283-6103

Other identifiers 7

IdentifierTypeStateIssuer
059922OtherKSBCBS
1429OtherKSPHS
12149420OtherKSMULTIPLAN
100419OtherKSHPK
100119370CMedicaidKS
17023OtherKSCOVENTRY
30004449630008MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050217000194 KS Practitioner - Family Practice 0345292447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Ministries Clinic IncGroup PAC ID 1254330244, 31 clinicians
Novacare Outpatient Rehabilitation IncGroup PAC ID 8123939246, 34 clinicians

Practice addresses (Care Compare)

126 Main St
Halstead, KS 67056-1708
Phone (316) 835-3700

1400 S Kansas Ave
Suite 1200
Newton, KS 67114-5305
Phone (316) 677-8877

720 Medical Ctr Dr
Newton, KS 67114-8778
Phone (316) 283-6103

Hospital & facility affiliations

  • NMC Health Home Care Home health agency, Newton, KS, CCN 177059
  • Traditions Health Home health agency, Waxahachie, TX, CCN 747768
  • Good Shepherd Hospice Hospice, Wichita, KS, CCN 171561
  • NMC Health Hospital, Newton, KS, CCN 170103
  • Paramount Community Living and Rehab Inc Nursing home, Newton, KS, CCN 175385
  • Bethel Health Care Center Nursing home, North Newton, KS, CCN 175402

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22378KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Ministries Clinic, Inc Current Accepting new patients
Health Ministries Clinic, Inc. CurrentSince Oct 27, 2017 Accepting new patients
Health Ministries Clinic, Inc. CurrentSince Oct 27, 2017 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Paramount Community Living and Rehab, Inc. Past Accepting new patients

Locations

126 Main St
Halstead, KS 67056
Phone (316) 835-3700

700 Medical Center Dr
Ste 101
Newton, KS 67114
Phone (316) 283-0027

700 Medical Center Dr
Ste 210
Newton, KS 67114
Phone (316) 283-2800

720 Medical Center Dr
Newton, KS 67114
Phone (316) 283-6103

700 Medical Center Dr
Newton, KS 67114
Phone (316) 283-7100

215 S Pine St
Newton, KS 67114
Phone (316) 283-4400

209 S Pine St
Newton, KS 67114
Phone (316) 283-6103

Interoperability endpoints

  • Direct secure messaging: michael.williams@khindirect.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Paramount Community Living and Rehab IncNewton, KS, CCN 175385 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 1, 2021
Feb 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1043229149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671148778",
            "telephone_number": "316-283-6103",
            "fax_number": "316-283-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671148778",
            "telephone_number": "316-283-6103",
            "fax_number": "316-283-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "22378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "059922",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "1429",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12149420",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPK",
            "identifier": "100419",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119370C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "17023",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004449630008",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.