Active NPI
Michael Brian Williams, M.D.
- Cardiovascular Disease Physician
- Auburn, AL
National Provider Identifier
1184652091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 00016321
- Practice address
- 994 Drew LN
Auburn, AL 36830-4302 - Phone
- (334) 821-1219
- Fax
- (334) 821-0838
- NPI assigned
- Jun 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 00016321 | AL | Primary |
| Interventional Cardiology Physician | 207RI0011X | 00016321 | AL |
Addresses
Primary practice location
994 Drew LN
Auburn, AL 36830-4302
Mailing address
994 Drew LN
Auburn, AL 36830-4302
Phone (334) 821-1219
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051076027 | Other | AL | BCBS OF AL |
| 000076027 | Medicaid | AL | |
| 060047535 | Other | MEDICARE RAILROAD | |
| 529801770 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 64.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00016321 | AL | MD | Interventional Cardiology Physician |
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| East Alabama Medical Center | Hospital | Corporate Director | Oct 1, 2024 |
| Eamc - Lanier Nursing Home | Skilled nursing facility | Corporate Director | Oct 1, 2024 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
Corporate Director
-
- Nursing Facility/Intermediate Care Facility
- Valley, AL
- NPI 1164847596
Corporate Director
Organizations & group practices 1
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.
-
- Specialist
- Opelika, AL
- NPI 1104193069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1184652091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "994 DREW LN",
"city": "AUBURN",
"state": "AL",
"postal_code": "368304302",
"telephone_number": "334-821-1219",
"fax_number": "334-821-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "994 DREW LN",
"city": "AUBURN",
"state": "AL",
"postal_code": "368304302",
"telephone_number": "334-821-1219",
"fax_number": "334-821-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MICHAEL",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AL",
"license": "00016321",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AL",
"license": "00016321",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "051076027",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000076027",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "060047535",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529801770",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.