Individual provider Active NPI

Adrienne Y Williams, M.D.

  • Anesthesiology Physician
  • Pekin, IL
National Provider Identifier
1255382156
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036109114 Issued in IL
Practice address
600 S 13TH St
Pekin, IL 61554-4936
Phone
(309) 347-1151
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036109114 IL Primary

Addresses

Primary practice location

600 S 13TH St
Pekin, IL 61554-4936

Mailing address

401 Main St
Suite 1200
Peoria, IL 61602-1267
Phone (309) 671-8749

Other identifiers 2

IdentifierTypeStateIssuer
P00274680OtherRR IND MEDICARE ID
036109114MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 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
I20040109000103 IL Practitioner - Anesthesiology 3779483656 Reassigns benefits to 1 organization
I20251111003064 TX Practitioner - Anesthesiology 3779483656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians Anesthesiology of Texas PLLCGroup PAC ID 1254751407, 134 clinicians
NTX Anesthesiology Consultants PLLCGroup PAC ID 7416203773, 115 clinicians

Practice addresses (Care Compare)

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-3431

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (469) 607-2276

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as apm
Quality
75.65
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036109114ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Anesthesiology CurrentSince Jan 24, 2026 Accepting new patients
Novus Illinois Service Corporation Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 24, 2026 Accepting new patients
NTX Anesthesiology Consultants PLLC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Associated Anesthesiologists, S.C. Anesthesiology Past Accepting new patients
Premier Anesthesia of Urbana Anesthesiology Past Accepting new patients

Locations

300 Riverside Dr
Ste 100
Bourbonnais, IL 60914

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

Organizations & group practices 7

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1255382156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MAIN ST",
            "address_2": "SUITE 1200",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021267",
            "telephone_number": "309-671-8749",
            "fax_number": "309-671-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 13TH ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544936",
            "telephone_number": "309-347-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ADRIENNE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036109114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR IND MEDICARE ID",
            "identifier": "P00274680",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109114",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

Verify at the official NPI Registry.