Individual provider Active NPI

Richard B Williams, M.D.

  • Plastic Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1285677385
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35053321 Issued in OH
Practice address
4030 Smith Road
Suite 350
Cincinnati, OH 45209-1969
Phone
(513) 791-4440
Fax
(513) 985-6615
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 01034879A IN
Plastic Surgery Physician 208200000X 22201 KY
Plastic Surgery Physician 208200000X 35053321 OH Primary

Addresses

Primary practice location

4030 Smith Road
Suite 350
Cincinnati, OH 45209-1969

Mailing address

4030 Smith Road
Suite 350
Cincinnati, OH 45209-1969
Phone (513) 791-4440

Other identifiers 4

IdentifierTypeStateIssuer
240004084OtherMEDICARE RAILROAD
64787377MedicaidKY
311411704OtherTAX ID
O628824MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100331000777 KY Practitioner - Plastic and Reconstructive Surgery 4082740881 Reassigns benefits to 2 organizations
I20111219000757 OH Practitioner - Plastic and Reconstructive Surgery 4082740881 Reassigns benefits to 1 organization
I20240402000953 IN Practitioner - Plastic and Reconstructive Surgery 4082740881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Kentucky College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Group IncGroup PAC ID 9133182223, 5 clinicians

Practice addresses (Care Compare)

4030 Smith Rd
Suite 350
Cincinnati, OH 45209-1969
Phone (513) 791-4440

7162 Liberty Centre Dr
Unit C
West Chester, OH 45069-2748
Phone (513) 791-4440

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01034879AINMDPlastic Surgery Physician
22201KYMDPlastic Surgery Physician
35053321OHMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc CurrentSince Mar 4, 2019 Accepting new patients
Summit Medical Group, Inc Current Accepting new patients
Summit Medical Group, Inc. CurrentSince Mar 4, 2019 Accepting new patients
The Plastic Surgery Group PastSince Oct 1, 1995 Accepting new patients

Locations

204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133

368 Bielby Rd
Lawrenceburg, IN 47025
Phone (812) 496-8771

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

340 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-8777

340 Thomas More Pkwy
Ste 100
Crestview Hills, KY 41017
Phone (513) 791-4440

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

Interoperability endpoints

  • Direct secure messaging: rwilliams26909@direct-prd.stelizabeth.com

Organizations & group practices 5

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1285677385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 SMITH ROAD",
            "address_2": "SUITE 350",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091969",
            "telephone_number": "513-791-4440",
            "fax_number": "513-985-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 SMITH ROAD",
            "address_2": "SUITE 350",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091969",
            "telephone_number": "513-791-4440",
            "fax_number": "513-985-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RICHARD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IN",
            "license": "01034879A",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KY",
            "license": "22201",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35053321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "240004084",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64787377",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "311411704",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O628824",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.