Kenneth Williams, M.D., M.S.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

14222R Issued in LA

Practice address

3361 Gen de Gaulle Dr
Suite B
New Orleans, LA 70114-6701

Phone

(504) 367-5303

Fax

(504) 367-4071

NPI assigned

Aug 16, 2005

Last updated

Jul 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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, Master of Science

State licenses

Practice roles

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.

• Restorative Care Health Center L.L.C.

  • Physical Medicine & Rehabilitation Physician
  • New Orleans, LA
  • NPI 1407088099
  Authorized official Same address or phone
• Nola Central City Clinic

  • Family Nurse Practitioner
  • New Orleans, LA
  • NPI 1851952410
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1275525321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 GEN DE GAULLE DR",
            "address_2": "SUITE B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146701",
            "telephone_number": "504-367-5303",
            "fax_number": "504-367-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 GEN DE GAULLE DR",
            "address_2": "SUITE B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146701",
            "telephone_number": "504-367-5303",
            "fax_number": "504-367-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENNETH",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "14222R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10048",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Williams
• Kedrick Darmar Williams Sr.
• Kelsie Marjai Williams, PA-C
• Kelvanisha L Williams
• Kem'Michelle Williams
• Kethrone Williams
• Kim Williams, BS
• Kimberly K Williams, LPN
• Kristen Williams, CSW
• Kristen Lynn Williams

• Physical Medicine & Rehabilitation Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Physical Medicine & Rehabilitation Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.