Active NPI
Lukas James Williams, PA-C
- Medical Physician Assistant
- Washington, DC
National Provider Identifier
1265065619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0010-09724
- Practice address
- 2021 K St NW Ste 600
Washington, DC 20006-1051 - Phone
- (202) 516-6336
- Fax
- (833) 200-5844
- NPI assigned
- Feb 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-09724 | NC | Primary |
Addresses
Primary practice location
2021 K St NW Ste 600
Washington, DC 20006-1051
Mailing address
2112 8TH St NW Apt 725
Washington, DC 20001-8212
Phone (336) 681-2838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2021 K St NW
Washington, DC 20006-1051
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-09724 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
110 Irving St NW
Ste 3B55
Washington, DC 20010
Phone (202) 877-7347
Organizations & group practices 2
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.
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- Neurological Surgery Physician
- Washington, DC
- NPI 1407870124
-
- General Practice Physician
- Washington, DC
- NPI 1629394424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1265065619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 8TH ST NW APT 725",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200018212",
"telephone_number": "336-681-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 K ST NW STE 600",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061051",
"telephone_number": "202-516-6336",
"fax_number": "833-200-5844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LUKAS",
"middle_name": "JAMES",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-13",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-09724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.