Individual provider Active NPI

Michael David Williams, M.D.

  • Vascular & Interventional Radiology Physician
  • Tyler, TX
National Provider Identifier
1083669246
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
N1223 Issued in TX
Practice address
910 E Houston St Ste 210
Tyler, TX 75702-8369
Phone
(903) 705-0072
Fax
(903) 705-0068
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X N1223 TX
Vascular & Interventional Radiology Physician 2085R0204X N1223 TX Primary
Diagnostic Radiology Physician 2085R0202X N1223 TX

Addresses

Primary practice location

910 E Houston St Ste 210
Tyler, TX 75702-8369

Mailing address

700 Olympic Plaza Cir Ste 910
Tyler, TX 75701-1915
Phone (903) 705-0072

Other practice location 1

2701 US Highway 271 N
Pittsburg, TX 75686-4289
Phone (903) 946-5365

Other practice location 2

117 N Winnsboro St
Quitman, TX 75783-2144
Phone (903) 763-6333

Other practice location 3

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 597-0351

Other practice location 4

700 Olympic Plaza Cir Ste 100
Tyler, TX 75701-1951
Phone (903) 262-3900

Other practice location 5

2208 Three Lakes Pkwy Ste 102
Tyler, TX 75703-0538
Phone (903) 262-3900

Other practice location 6

700 Olympic Plaza Cir Ste 910
Tyler, TX 75701-1915
Phone (903) 705-0072

Other practice location 7

18118 Fm 344 W
Flint, TX 75762-6010
Phone (903) 825-3292

Other practice location 8

409 Cottage Rd
Carthage, TX 75633-1466
Phone (903) 694-4941

Other practice location 9

1000 E 5th St Ste 300
Tyler, TX 75701-3333
Phone (903) 531-8000

Other identifiers 1

IdentifierTypeStateIssuer
282066401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090305000478 TX Practitioner - Diagnostic Radiology 1456350065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in New Orleans, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, shared by 9 NPIs, 1,540 clinicians
Neuro Ir of East TexasGroup PAC ID 0446511679, 3 clinicians

Practice addresses (Care Compare)

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 597-0351

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

700 Olympic Plaza Cir
Suite 910
Tyler, TX 75701-1915
Phone (903) 705-0072

Hospital & facility affiliations

  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
  • Baylor Scott & White Texas Spine & Joint Hospital Hospital, Tyler, TX, CCN 450864
  • Christus Mother Frances Hospital Sulphur Springs Hospital, Sulphur Springs, TX, CCN 450236
  • Ut Health East Texas Jacksonville Hospital Hospital, Jacksonville, TX, CCN 450194

Merit-based Incentive Payment System (MIPS)

Final score
94.82 of 100Reported as group
Quality
98.27
Improvement activities
40
Cost
77.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Touchstone Imaging of Tyler, LP CurrentSince Jan 16, 2012 Accepting new patients
Neuro Ir of East Texas Neuroradiology CurrentSince Dec 15, 2017 Accepting new patients
Radiology Consultants of Little Rock, PA Diagnostic Radiology Past Accepting new patients
Open MRI of Conway LLC Diagnostic Radiology PastSince Jan 1, 2020 Accepting new patients

Locations

700 Olympic Plaza Cir
Ste 910
Tyler, TX 75701
Phone (903) 200-5525

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

700 Olympic Plaza Cir
Ste 850
Tyler, TX 75701
Phone (903) 595-2441

Organizations & group practices 4

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 5

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1083669246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIR STE 910",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011915",
            "telephone_number": "903-705-0072",
            "fax_number": "903-705-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E HOUSTON ST STE 210",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028369",
            "telephone_number": "903-705-0072",
            "fax_number": "903-705-0068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 US Highway 271 N",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "TX",
            "postal_code": "756864289",
            "country_code": "US",
            "telephone_number": "903-946-5365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 N Winnsboro St",
            "address_purpose": "LOCATION",
            "city": "Quitman",
            "state": "TX",
            "postal_code": "757832144",
            "country_code": "US",
            "telephone_number": "903-763-6333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 S Beckham Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757011908",
            "country_code": "US",
            "telephone_number": "903-597-0351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Olympic Plaza Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757011951",
            "country_code": "US",
            "telephone_number": "903-262-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2208 Three Lakes Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757030538",
            "country_code": "US",
            "telephone_number": "903-262-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Olympic Plaza Cir Ste 910",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757011915",
            "country_code": "US",
            "telephone_number": "903-705-0072",
            "fax_number": "903-705-0068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18118 Fm 344 W",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "TX",
            "postal_code": "757626010",
            "country_code": "US",
            "telephone_number": "903-825-3292",
            "fax_number": "903-825-3151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 Cottage Rd",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "TX",
            "postal_code": "756331466",
            "country_code": "US",
            "telephone_number": "903-694-4941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E 5th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757013333",
            "country_code": "US",
            "telephone_number": "903-531-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "N1223",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "N1223",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N1223",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282066401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.