Individual provider Active NPI

Adetunji Babatunde Williams, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Germantown, MD
National Provider Identifier
1225280399
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
D0073099 Issued in MD
Practice address
20010 Century Blvd
Germantown, MD 20874-1115
Phone
(330) 344-2462
NPI assigned
Oct 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0073099 MD
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X D0073099 MD Primary

Addresses

Primary practice location

20010 Century Blvd
Germantown, MD 20874-1115

Mailing address

17325 Moss Side LN
Olney, MD 20832-2917
Phone (443) 812-3446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110802000363 DC Practitioner - Family PracticePractitioner - Emergency Medicine 7618169921 Reassigns benefits to 1 organization
I20171010000843 KY Practitioner - Emergency Medicine 7618169921 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Bethesda Emergency Associates LLC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Emergency Medicine Physicians of Guernsey County, LTD Emergency Medicine Past Accepting new patients
Baltimore Washington Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

Interoperability endpoints

  • Direct secure messaging: awilliams367068@direct.hopkinsmedicine.org

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1225280399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 MOSS SIDE LN",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322917",
            "telephone_number": "443-812-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20010 CENTURY BLVD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741115",
            "telephone_number": "330-344-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ADETUNJI",
        "middle_name": "BABATUNDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0073099",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MD",
            "license": "D0073099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.