Individual provider Active NPI

John P Williams, MD

  • Surgery Physician
  • Manassas, VA
National Provider Identifier
1104837244
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101059106 Issued in VA
Practice address
8650 Sudley Rd
#206
Manassas, VA 20110
Phone
(703) 368-9234
Fax
(703) 368-0505
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101059106 VA Primary

Addresses

Primary practice location

8650 Sudley Rd
#206
Manassas, VA 20110

Mailing address

8650 Sudley Rd
#206
Manassas, VA 20110
Phone (703) 368-9234

Other identifiers 2

IdentifierTypeStateIssuer
007309775MedicaidVA
336884OtherVABCBS ANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111212000561 VA Practitioner - General Surgery 9537187331 Reassigns benefits to 1 organization
I20181019001105 DC Practitioner - General Surgery 9537187331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galaria Plastic Surgery and Dermatology PLCGroup PAC ID 7517005515, 6 clinicians

Practice addresses (Care Compare)

24805 Pinebrook Rd
Suite 105
Chantilly, VA 20152-4127
Phone (703) 327-3173

Hospital & facility affiliations

  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144
  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
  • Fauquier Hospital Hospital, Warrenton, VA, CCN 490023

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy26
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Surgical Specialists LTD Surgery CurrentSince Oct 12, 2016 Accepting new patients
Galaria Plastic Surgery and Dermatology, PLC CurrentSince Nov 1, 2018 Accepting new patients
Galaria Plastic Surgery & Dermatology PastSince Nov 1, 2018 Accepting new patients
Thomas H Rhee, MD, PC Past Accepting new patients

Locations

42395 Ryan Rd
Ste 101A
Brambleton, VA 20148

24805 Pinebrook Rd
Ste 15
Chantilly, VA 20152

24805 Pinebrook Rd
Ste 105
Chantilly, VA 20152
Phone 70332731733

15195 Heathcote Blvd
Ste 358
Haymarket, VA 20169
Phone (703) 753-0990

15195 Heathcote Blvd
Ste 240
Haymarket, VA 20169
Phone (571) 261-2782

8650 Sudley Rd
Ste 206
Manassas, VA 20110
Phone (703) 368-9234

432 Hospital Dr
Warrenton, VA 20186
Phone (540) 347-2805

136 Linden Dr
Ste 104
Winchester, VA 22601

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 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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1104837244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 SUDLEY RD",
            "address_2": "#206",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-368-9234",
            "fax_number": "703-368-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 SUDLEY RD",
            "address_2": "#206",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-368-9234",
            "fax_number": "703-368-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101059106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007309775",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANTHEM",
            "identifier": "336884",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.