Individual provider Active NPI

David C Willms, M.D.

  • Pulmonary Disease Physician
  • San Diego, CA
National Provider Identifier
1285626747
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C42091 Issued in CA
Practice address
7910 Frost Street
Suite 245
San Diego, CA 92123
Phone
(858) 650-5037
Fax
(858) 650-5039
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X C42091 CA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X C42091 CA
Hospitalist Physician 208M00000X C42091 CA
Internal Medicine Physician 207R00000X C42091 CA

Addresses

Primary practice location

7910 Frost Street
Suite 245
San Diego, CA 92123

Mailing address

7910 Frost Street
Suite 245
San Diego, CA 92123
Phone (858) 650-5037

Other identifiers 1

IdentifierTypeStateIssuer
00C420910MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20070416000553 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3173595238 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Baylor College of Medicine, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Samuel J Clark MD IncGroup PAC ID 0547279499, 3 clinicians
Chest Medicine and Critical Care Medical Group IncGroup PAC ID 6103898259, 26 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians
Avicenna Critical Care, PCGroup PAC ID 6507290657, 5 clinicians

Practice addresses (Care Compare)

1940 El Cajon Blvd
San Diego, CA 92104-1005
Phone (619) 543-4500

250 Prospect PL
Coronado, CA 92118-1943
Phone (619) 522-3600

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

8665 La Mesa Blvd
La Mesa, CA 91942-9503
Phone (619) 465-0702

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
73.46
Improvement activities
20
Cost
73.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42091CAMDGeneral Practice Dentistry
C42091CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC Hospitalist Current Accepting new patients
KND Development 59 LLC Hospitalist CurrentSince Jun 24, 2010 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Internal Medicine CurrentSince May 9, 2023 Accepting new patients
Chest Medicine and Critical Care Medical Group, Inc. Internal Medicine CurrentSince Aug 18, 1988 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince May 9, 2023 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 1, 2007 Accepting new patients
Samuel J. Clark, M.D., Inc. Pulmonary Disease CurrentSince Feb 20, 2012 Accepting new patients
KND Development 59, LLC Hospitalist CurrentSince Jun 24, 2010 Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

1400 E Palomar St
Chula Vista, CA 91913
Phone (619) 397-3077

5525 W Slauson Ave
Los Angeles, CA 90056
Phone (310) 642-0325

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

4940 El Cajon Blvd
San Diego, CA 92115
Phone (619) 543-4500

1940 El Cajon Blvd
San Diego, CA 92104
Phone (619) 543-4500

7910 Frost St
Ste 245
San Diego, CA 92123
Phone (858) 650-5036

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1285626747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 FROST STREET",
            "address_2": "SUITE 245",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-650-5037",
            "fax_number": "858-650-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 FROST STREET",
            "address_2": "SUITE 245",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-650-5037",
            "fax_number": "858-650-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLMS",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C42091",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "C42091",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C42091",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C42091",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C420910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.