NPIMap

Individual provider Active NPI

Carl N Williams Jr., M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Las Vegas, NV
National Provider Identifier
1194734244
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
5174 Issued in NV
Practice address
2020 Wellness Way Ste 501
Las Vegas, NV 89106-4145
Phone
(702) 259-3223
Fax
(702) 259-0101
NPI assigned
Aug 7, 2006
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 5174 NV
Surgery Physician 208600000X 5174 NV
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 5174 NV Primary

Addresses

Primary practice location

2020 Wellness Way Ste 501
Las Vegas, NV 89106-4145

Mailing address

2020 Wellness Way Ste 501
Las Vegas, NV 89106-4145
Phone (702) 259-3223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031201000174 NV Practitioner - Plastic and Reconstructive SurgeryPractitioner - OtolaryngologyPractitioner - Hand Surgery 8224942313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery, Otolaryngology
Education
Indiana University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carl N Williams Jr MD CHTDGroup PAC ID 5193701845, 2 clinicians

Practice addresses (Care Compare)

2020 Wellness Way
Suite 501
Las Vegas, NV 89106-4145
Phone (702) 259-3223

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
91.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue145
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5174NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carl N Williams Jr MD CHTD Plastic Surgery CurrentSince Mar 22, 2004 Accepting new patients
Primary Specialties Medical Group, Inc. Past Accepting new patients
J Robert West, M.D., Inc Past Accepting new patients

Locations

2020 Wellness Way
Ste 501
Las Vegas, NV 89106
Phone (702) 259-3223

2020 Wellness Way
Ste 504
Las Vegas, NV 89106
Phone (561) 271-3491

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

9030 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 256-8686

Interoperability endpoints

  • Direct secure messaging: carl.williams.jr.1@16824.direct.athenahealth.com
  • Direct secure messaging: cwilliams12744@direct.umcsn.com
  • FHIR API: https://api.platform.athenahealth.com/16824/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 11

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1194734244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 501",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-259-3223",
            "fax_number": "702-259-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 501",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-259-3223",
            "fax_number": "702-259-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CARL",
        "middle_name": "N",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NV",
            "license": "5174",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "5174",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NV",
            "license": "5174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.