Active NPI
Richard B Williams, M.D.
- Plastic Surgery Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 35053321
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240004084 | Other | MEDICARE RAILROAD | |
| 64787377 | Medicaid | KY | |
| 311411704 | Other | TAX ID | |
| O628824 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01034879A | IN | MD | Plastic Surgery Physician |
| 22201 | KY | MD | Plastic Surgery Physician |
| 35053321 | OH | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Current | Accepting new patients | |
| Summit Medical Group, Inc | Current | Accepting new patients | |
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| The Plastic Surgery Group | Past | 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
- 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.
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Specialist
- Crestview Hills, KY
- NPI 1346468030
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.