NPIMap

Individual provider Active NPI

Michael T Williams, M.D.

  • Internal Medicine Physician
  • Suffolk, VA
National Provider Identifier
1093868424
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101033710 Issued in VA
Practice address
114 N Main St Ste 200
Suffolk, VA 23434-4564
Phone
(757) 934-1003
Fax
(757) 934-1660
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101033710 VA Primary

Addresses

Primary practice location

114 N Main St Ste 200
Suffolk, VA 23434-4564

Mailing address

114 N Main St Ste 200
Suffolk, VA 23434-4564
Phone (757) 934-1003

Other practice location 1

2613 Taylor Rd Ste 201
Chesapeake, VA 23321-2246
Phone (757) 738-1600

Other identifiers 3

IdentifierTypeStateIssuer
041020OtherVAANTHEM
6040195MedicaidVA
7906536OtherNCMEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100209000787 VA Practitioner - Internal Medicine 0840288940 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians
Bon Secours Medical Group Hampton Roads Primary Care LLCGroup PAC ID 0941632756, 62 clinicians

Practice addresses (Care Compare)

1945 Roanoke Blvd
Salem, VA 24153-6408
Phone (540) 345-3894

2613 Taylor Rd
Suite 201
Chesapeake, VA 23321-2246
Phone (757) 738-1600

3537 Airline Blvd
Suite 1
Portsmouth, VA 23701-2650
Phone (757) 738-1225

Hospital & facility affiliations

  • Amedisys Home Health of Newport News Home health agency, Hampton, VA, CCN 497091
  • Bon Secours Home Care Home health agency, Suffolk, VA, CCN 497245
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Courtland Rehabilitation and Healthcare Center Nursing home, Courtland, VA, CCN 495296
  • Waterview Health & Rehab Center Nursing home, Hampton, VA, CCN 495308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101033710VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Pai Participant 1 LLC CurrentSince Apr 6, 2024 Accepting new patients
Universal Health Corporation Internal Medicine CurrentSince Apr 6, 2024 Accepting new patients
Bon Secours Medical Group Hampton Roads Primary Care LLC Internal Medicine CurrentSince Oct 6, 2024 Accepting new patients
Greater Suffolk Medical Center Internal Medicine PastSince May 1, 1986 Accepting new patients

Locations

2613 Taylor Rd
Ste 201
Chesapeake, VA 23321
Phone (757) 738-1600

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

3537 Airline Blvd
Ste 1
Portsmouth, VA 23701
Phone (757) 738-1225

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

114 N Main St
Ste 200
Suffolk, VA 23434
Phone (757) 934-1003

Interoperability endpoints

  • Direct secure messaging: mwilliams2694326@direct.bsmhealth.org

Organizations & group practices 5

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1093868424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST STE 200",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344564",
            "telephone_number": "757-934-1003",
            "fax_number": "757-934-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST STE 200",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344564",
            "telephone_number": "757-934-1003",
            "fax_number": "757-934-1660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2613 Taylor Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233212246",
            "country_code": "US",
            "telephone_number": "757-738-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101033710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "041020",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6040195",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "7906536",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.