NPIMap

Individual provider Active NPI

Robert A Williams, M.D.

  • Diagnostic Radiology Physician
  • Guymon, OK
National Provider Identifier
1073553202
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23914 Issued in OK
Practice address
350 NE 12TH St
Guymon, OK 73942-3624
Phone
(580) 461-1606
Fax
(580) 225-5423
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 23914 OK Primary

Addresses

Primary practice location

350 NE 12TH St
Guymon, OK 73942-3624

Mailing address

PO Box 1031
Guymon, OK 73942-1031
Phone (580) 338-6515

Other identifiers 2

IdentifierTypeStateIssuer
P00165591OtherOKRAILRAOD MEDICARE
200039390AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000447 TX Practitioner - Diagnostic Radiology 7214992338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone (325) 747-1511

150 Settlement Dr
Suite D
Bastrop, TX 78602-9662
Phone (956) 362-7553

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.63 of 100Reported as group
Quality
78.21
Promoting interoperability
96
Improvement activities
40
Cost
67.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23914OKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roadrunner Ultrasound Equipment, LLC CurrentSince Apr 17, 2017 Accepting new patients
Shannon Clinic Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Renaissance Medical Foundation CurrentSince Sep 1, 2025 Accepting new patients
Lone Star House Call Physicians, LLC PastSince Jan 29, 2019 Accepting new patients
Artesia General Hospital Past Accepting new patients
Western Oklahoma Radiology PLLC Diagnostic Radiology PastSince Aug 23, 2004 Accepting new patients
Texas Mobile Xray, LLC Past Accepting new patients
H Medical Supplies LLC PastSince Jul 19, 2010 Accepting new patients
Roadrunner Radiology Equipment, LLC PastSince Nov 26, 2007 Accepting new patients

Locations

150 Settlement Dr
Ste D
Bastrop, TX 78602
Phone (866) 972-9786

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

4750 N Expressway
Brownsville, TX 78526
Phone (956) 350-0734

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

Organizations & group practices 9

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 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1073553202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1031",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739421031",
            "telephone_number": "580-338-6515",
            "fax_number": "580-225-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NE 12TH ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739423624",
            "telephone_number": "580-461-1606",
            "fax_number": "580-225-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "23914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE",
            "identifier": "P00165591",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200039390A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guymon, OK

Sources for this page

Verify at the official NPI Registry.