Active NPI
Renaldo Williams
- Surgery Physician
- Baltimore, MD
National Provider Identifier
1124463393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D92134
- Practice address
- 600 N Wolfe Street
Zayed Suite 6107
Baltimore, MD 21287 - Phone
- (410) 502-3122
- Fax
- (410) 955-1884
- NPI assigned
- May 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D92134 | MD | Primary |
Addresses
Primary practice location
600 N Wolfe Street
Zayed Suite 6107
Baltimore, MD 21287
Mailing address
6201 Greenleigh Ave
Baltimore, MD 21220-2004
Phone (410) 933-6423
Other practice location 1
75 Francis St Dept Of
Boston, MA 02115-6106
Phone (617) 732-7715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292
Hospital & facility affiliations
- John H Stroger Jr Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.65 of 100
- Quality
- 92.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.02
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D92134 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Surgery | Current | Accepting new patients |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Past | Accepting new patients |
Locations
777 Bannock St
Denver, CO 80204
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
Interoperability endpoints
- rwilliams852103@direct.hopkinsmedicine.org
- rwilliams36205@direct.vumc.org
- rwilliams268816@direct.dhha.org
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- General Acute Care Hospital
- Denver, CO
- NPI 1689624686
Hospital & facility affiliations 27
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": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1124463393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE STREET",
"address_2": "ZAYED SUITE 6107",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "410-502-3122",
"fax_number": "410-955-1884"
}
],
"practiceLocations": [
{
"address_1": "75 Francis St Dept Of",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156106",
"country_code": "US",
"telephone_number": "617-732-7715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RENALDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-01",
"last_updated": "2021-08-20",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D92134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.