Todd E Williams, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

2000-312 Issued in NM

Practice address

2300 E 30TH St BLDG B
Ste 103
Farmington, NM 87401-8991

Phone

(505) 327-1754

Fax

(505) 327-1840

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Plastic and Reconstructive Surgery

Education

Southern Illinois University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Juan Regional Medical Center Inc Hospital, Farmington, NM, CCN 320005

Merit-based Incentive Payment System (MIPS)

Final score

26.9 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

89.65

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16938/brand/1/csg/21/fhir/r4
• Direct secure messaging: twilliams@directaddress.net

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.

• Todd Williams, MD PC

  • Plastic and Reconstructive Surgery Physician
  • Farmington, NM
  • NPI 1619060274
  Medicare reassignment NPD
• Todd Williams, MD, PC

  • Surgery of the Hand (Surgery) Physician
  • Farmington, NM
  • NPI 1386844199
  NPD Authorized official
• Spine Colorado PC

  • Orthopaedic Surgery of the Spine Physician
  • Durango, CO
  • NPI 1083665657
  NPD (past)

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

• San Juan Regional Medical Center Inc

  • Rehabilitation Hospital Unit
  • Farmington, NM
  • NPI 1326663592
  Care Compare affiliation
• San Juan Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Farmington, NM
  • NPI 1427058510
  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1124110283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5820",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874995820",
            "telephone_number": "505-327-1754",
            "fax_number": "505-327-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST BLDG B",
            "address_2": "STE 103",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018991",
            "telephone_number": "505-327-1754",
            "fax_number": "505-327-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TODD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NM",
            "license": "2000-312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B7802",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Garrett Wilder
• David Lee Wilkey, MD
• Alisha Lynn Williams, COTA
• Drew Jonathan Williams, DMD
• Jenna Williams
• Genevieve Willis, FNP-C
• Janet M Wilmes, M.D.
• Anne Jeannette Wilson
• Christianna Wilson
• Jens Wilson, DMD

• Plastic and Reconstructive Surgery Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Plastic and Reconstructive Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.