NPIMap

Individual provider Active NPI

Benjamen Howard Williams, M.D.

  • Family Medicine Physician
  • Columbus, KS
National Provider Identifier
1255416558
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-32164 Issued in KS
Practice address
101 W Sycamore St
Columbus, KS 66725-1276
Phone
(620) 429-2101
NPI assigned
Oct 26, 2006
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 125055317 IL
Family Medicine Physician 207Q00000X 04-32164 KS Primary
Family Medicine Physician 207Q00000X 35959 OK
Aerospace Medicine Physician 2083A0100X 04-32164 KS
General Practice Physician 208D00000X 04-32164 KS

Addresses

Primary practice location

101 W Sycamore St
Columbus, KS 66725-1276

Mailing address

3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873

Other practice location 1

2990 Military Ave
Baxter Springs, KS 66713-2331
Phone (620) 856-2900

Other practice location 2

57950 Leavenworth St
Wichita, KS 67221-3506
Phone (316) 759-5050

Other practice location 3

106 NW Veterans Blvd
Miami, OK 74354-1818
Phone (918) 238-3074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120106000700 KS Practitioner - Family Practice 3173799491 Reassigns benefits to 6 organizations
I20221217000051 MO Practitioner - Family Practice 3173799491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JC Edwards School of Medicine, Marshall University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, shared by 3 NPIs, 288 clinicians

Practice addresses (Care Compare)

101 W Sycamore St
Columbus, KS 66725-1273
Phone (620) 429-3636

1717 S Range Line Rd B
MC Family Medicine Rangeline
Joplin, MO 64804-3224
Phone (417) 623-3158

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35959OKMDFamily Medicine Physician
04-32164KSMDAerospace Medicine Physician
125055317ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC Family Medicine Current Accepting new patients
Mercy Clinic Joplin LLC Family Medicine CurrentSince Feb 6, 2017 Accepting new patients
William Newton Memorial Hospital CurrentSince Jul 1, 2023 Accepting new patients
Mercy Hospital Columbus CurrentSince Jun 1, 2017 Accepting new patients
William Newton Memorial Hospital CurrentSince Jul 1, 2023 Accepting new patients
Sound Physicians Emergency Medicine of Kansas, LLC CurrentSince May 1, 2022 Accepting new patients
Mercy Hospital Columbus Current Accepting new patients

Locations

101 W Sycamore St
Columbus, KS 66725
Phone (620) 429-2101

220 N Pennsylvania Ave
Columbus, KS 66725
Phone (620) 429-2545

403 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (417) 556-4762

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1717 S Range Line Rd
Ste B
Joplin, MO 64804
Phone (417) 556-2231

106 NW Veterans Blvd
Miami, OK 74354
Phone (918) 238-2410

Interoperability endpoints

  • Direct secure messaging: bwilliams784019@directc.mercy.net

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.

FacilityTypeRoleSince
Mercy Hospital ColumbusColumbus, KS, CCN 171308 Hospital Corporate Director Jul 1, 2017
Mercy Hospital ColumbusColumbus, KS, CCN 17Z308 Hospital Corporate Director Jul 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1255416558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 N MICHIGAN ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622546",
            "telephone_number": "620-231-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W SYCAMORE ST",
            "city": "COLUMBUS",
            "state": "KS",
            "postal_code": "667251276",
            "telephone_number": "620-429-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2990 Military Ave",
            "address_purpose": "LOCATION",
            "city": "Baxter Springs",
            "state": "KS",
            "postal_code": "667132331",
            "country_code": "US",
            "telephone_number": "620-856-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57950 Leavenworth St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672213506",
            "country_code": "US",
            "telephone_number": "316-759-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 NW Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "OK",
            "postal_code": "743541818",
            "country_code": "US",
            "telephone_number": "918-238-3074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BENJAMEN",
        "middle_name": "HOWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125055317",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-32164",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "35959",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "KS",
            "license": "04-32164",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "04-32164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, KS

Sources for this page

Verify at the official NPI Registry.