Individual provider Active NPI

Keesha Marie Williams-Elliott, M.D.

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1093748568
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD35092 Issued in DC
Practice address
1647 Benning Rd NE
Suite 102
Washington, DC 20002-4569
Phone
(202) 396-8200
NPI assigned
Jul 8, 2006
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD35092 DC Primary

Addresses

Primary practice location

1647 Benning Rd NE
Suite 102
Washington, DC 20002-4569

Mailing address

1647 Benning Rd NE Ste 102
Washington, DC 20002-4574
Phone (202) 396-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20070305000247 DC Practitioner - Ophthalmology 6709988199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Howard University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Eye Care Center AssociatesGroup PAC ID 8325147267, 2 clinicians

Practice addresses (Care Compare)

1647 Benning Rd NE
Suite 102
Washington, DC 20002-4571
Phone (202) 396-8200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD35092DCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater North East Eye Care CTN Ophthalmology CurrentSince Jul 10, 2006 Accepting new patients
Metropolitan Eye Care Center Associates Ophthalmology CurrentSince Jul 10, 2006 Accepting new patients

Locations

1647 Benning Rd NE
Ste 102
Washington, DC 20002
Phone (202) 396-8200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1093748568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 BENNING RD NE STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024574",
            "telephone_number": "202-396-8200",
            "fax_number": "202-396-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 BENNING RD NE",
            "address_2": "SUITE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024569",
            "telephone_number": "202-396-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-ELLIOTT",
        "first_name": "KEESHA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD35092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.