NPIMap

Individual provider Active NPI

Kim A Williams Jr., M.D.

  • Neurological Surgery Physician
  • Hinsdale, IL
National Provider Identifier
1154587426
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036140284 Issued in IL
Practice address
908 N Elm St Ste 202
Hinsdale, IL 60521
Phone
(630) 856-8640
NPI assigned
Aug 5, 2008
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036140284 IL Primary

Addresses

Primary practice location

908 N Elm St Ste 202
Hinsdale, IL 60521

Mailing address

908 N Elm St Ste 202
Hinsdale, IL 60521-3637
Phone (630) 856-8640

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kim.williams.2@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, MI3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160802002966 IL Practitioner - Neurosurgery 1759504897 Reassigns benefits to 1 organization
I20211103001325 IN Practitioner - Neurosurgery 1759504897 Reassigns benefits to 1 organization
I20230131001123 MI Practitioner - Neurosurgery 1759504897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Community HospitalGroup PAC ID 1658275342, 18 clinicians
Great Lakes Neurosurgical Associates PCGroup PAC ID 5890691182, 13 clinicians
Center for Physical Rehabilitation IncGroup PAC ID 6901717768, 352 clinicians
Center for Physical Rehabilitation and Therapy LPGroup PAC ID 0941513303, 365 clinicians

Practice addresses (Care Compare)

301 N Main St
Sheridan, MI 48884-9235
Phone (989) 291-3261

3350 Eagle Park Dr NE
Suite 102
Grand Rapids, MI 49525-4570
Phone (616) 454-3465

5060 Cascade Rd
Grand Rapids, MI 49546-3808

5060 Cascade Rd SE
Grand Rapids, MI 49546-3808

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion238
Laminectomy or laminotomy (partial removal of spine bones)12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group CurrentSince Feb 17, 2023 Accepting new patients
Great Lakes Neurosurgical Associates, PC CurrentSince Mar 11, 2025 Accepting new patients
Community Care Network Inc Neurological Surgery CurrentSince Dec 1, 2021 Accepting new patients
Sheridan Community Hospital CurrentSince May 16, 2024 Accepting new patients
Sheridan Community Hospital CurrentSince May 16, 2024 Accepting new patients
Metropolitan Hospital Past Accepting new patients
Saint Mary's Health Services Past Accepting new patients

Locations

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

801 MacArthur Blvd
Ste 405
Munster, IN 46321
Phone (219) 836-5040

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

3350 Eagle Park Dr NE
Ste 102
Grand Rapids, MI 49525
Phone (616) 242-7042

301 N Main St
Sheridan, MI 48884
Phone (989) 291-3261

Interoperability endpoints

  • Direct secure messaging: kim.williams.2@380.direct.athenahealth.com
  • Direct secure messaging: kwilliams135543@direct.metrohealth.net
  • Direct secure messaging: kwilliams149686@direct.covenanthealthcare.com
  • Direct secure messaging: kwilliamsjrmd367664@carlehiedirect.net

Organizations & group practices 9

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 8

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1154587426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 202",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213637",
            "telephone_number": "630-856-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 202",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-856-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036140284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim.williams.2@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "908 N Elm St Ste 202",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.