Individual provider Active NPI

Richard Williams, M.D.

  • Family Medicine Physician
  • Grants Pass, OR
National Provider Identifier
1205833951
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD19804 Issued in OR
Practice address
741 NE 6TH St
Grants Pass, OR 97526-1556
Phone
(541) 471-2701
Fax
(541) 471-1166
NPI assigned
Jul 7, 2005
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD19804 OR Primary

Addresses

Primary practice location

741 NE 6TH St
Grants Pass, OR 97526-1556

Mailing address

1701 NE 7TH St
Grants Pass, OR 97526-1319
Phone (541) 471-2701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20040512000053 OR Practitioner - Family Practice 2961491162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Diego School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allcare Medical Group LLCGroup PAC ID 6507269115, 25 clinicians

Practice addresses (Care Compare)

741 NE 6TH St
Grants Pass, OR 97526-1556
Phone (541) 471-2701

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19804ORMDFamily Medicine Physician
19804ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Medical Group LLC Family Medicine CurrentSince Dec 31, 2023 Accepting new patients
Asante Three Rivers Medical Center, LLC CurrentSince Jan 1, 2012 Accepting new patients
Mark Allen Rondeau Family Medicine Past Accepting new patients

Locations

341 E Cottage Park Dr
Ste 1
Cave Junction, OR 97523
Phone (541) 450-3625

124 NW Midland Ave
Ste J
Grants Pass, OR 97526
Phone (541) 476-8859

1701 NE 7th St
Grants Pass, OR 97526
Phone (541) 471-4106

741 NE 6th St
Grants Pass, OR 97526
Phone (541) 471-2701

100 E Main St
Ste C
Medford, OR 97501
Phone (541) 200-2900

Interoperability endpoints

  • Direct secure messaging: richardwilliams@acmgllc.allscriptsdirect.net
  • Direct secure messaging: richardwilliams@mvfp.allscriptsdirect.net

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 2

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1205833951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261319",
            "telephone_number": "541-471-2701",
            "fax_number": "541-471-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 NE 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261556",
            "telephone_number": "541-471-2701",
            "fax_number": "541-471-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD19804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.