Individual provider Active NPI

Kenya M Williams, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Chicago, IL
National Provider Identifier
1326080144
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
036118717 Issued in IL
Practice address
1725 W Harrison St
Suite 910
Chicago, IL 60612-3841
Phone
(312) 563-9060
Fax
(312) 942-4437
NPI assigned
Jun 13, 2006
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036.118717 IL
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 036118717 IL Primary

Addresses

Primary practice location

1725 W Harrison St
Suite 910
Chicago, IL 60612-3841

Mailing address

1725 W Harrison St
Suite 910
Chicago, IL 60612-3841
Phone (312) 563-9060

Other identifiers 1

IdentifierTypeStateIssuer
036.118717OtherILLICENSE

Other names 1

  • Kenya M Starks Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwilliams@direct.ccprovider.org Direct Cook County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, IN, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20070829000019 IL Practitioner - OphthalmologyPractitioner - Internal Medicine 1254344021 Reassigns benefits to 5 organizations
I20251024003790 WI Practitioner - Ophthalmology 1254344021 Reassigns benefits to 3 organizations
I20251103001377 IN Practitioner - Ophthalmology 1254344021 Reassigns benefits to 1 organization
I20260618002370 CA Practitioner - Ophthalmology 1254344021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center Physicians, LTD.Group PAC ID 2567411325, 36 clinicians
Helix Eye Care PCGroup PAC ID 7214232131, 5 clinicians
Suburban Eyes Clinic, LLCGroup PAC ID 8628158011, 2 clinicians
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians

Practice addresses (Care Compare)

1725 W Harrison St
Suite 906
Chicago, IL 60612-3848
Phone (312) 942-5315

30 N Michigan Ave
Suite 1429
Chicago, IL 60602-3698
Phone (312) 392-1429

326 W US Hwy 30
Schererville, IN 46375-1856
Phone (219) 335-2400

500 Davis St
Suite 810
Evanston, IL 60201-4655
Phone (847) 424-1100

824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 344-1600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.118717ILMDOphthalmology Physician
036118717ILMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KM Williams MD SC CurrentSince Jun 3, 2013 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Geneva Eye Clinic LTD CurrentSince Jan 5, 2020 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Cook County CurrentSince Nov 30, 2011 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Raj K Goyal MD SC Ophthalmology CurrentSince Apr 11, 2017 Accepting new patients
Helix Eye Care PC Ophthalmology CurrentSince Oct 1, 2025 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. Current Accepting new patients
Cook County Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc CurrentSince Sep 1, 2025 Accepting new patients
Retina Associates LTD Ophthalmology CurrentSince Oct 1, 2025 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Cook County Current Accepting new patients
Cook County CurrentSince Nov 30, 2011 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Suburban Eyes Clinic, LLC Ophthalmology CurrentSince Jun 22, 2023 Accepting new patients
Eye Center Physicians, LTD. Ophthalmology CurrentSince Apr 1, 2016 Accepting new patients
Rush University Medical Center Past Accepting new patients

Locations

1725 W Harrison St
Ste 906
Chicago, IL 60612
Phone (312) 733-7566

1725 W Harrison St
Ste 910
Chicago, IL 60612
Phone (312) 622-7320

1725 W Harrison St
Ste 928
Chicago, IL 60612
Phone (312) 942-3500

1900 W Polk St
Ste 220C
Chicago, IL 60612

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

25706 Network Pl
Chicago, IL 60673

29980 Network Pl
Chicago, IL 60673

30 N Michigan Ave
Ste 1429
Chicago, IL 60602
Phone (312) 263-7171

4909 W Division St
Chicago, IL 60651
Phone (773) 854-8000

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

7456 S State Rd
Ste 302
Chicago, IL 60638
Phone (312) 729-5314

500 Davis St
Ste 810
Evanston, IL 60201
Phone (847) 424-1100

1000 Randall Rd
Ste 100
Geneva, IL 60134
Phone (630) 232-1282

2901 Carlson Dr
Ste 105
Hammond, IN 46323
Phone (219) 230-5377

326 W US Highway 30
Schererville, IN 46375
Phone (219) 335-2400

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000

209 Prentice St N
Stevens Point, WI 54481
Phone (715) 344-4611

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBAEDD/Endpoint/GBAEDD
  • Direct secure messaging: kwilliams125540@direct.rush.rush-health.com
  • Direct secure messaging: kwilliams380969@direct.aspirus.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 3

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1326080144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 910",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-563-9060",
            "fax_number": "312-942-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 910",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-563-9060",
            "fax_number": "312-942-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENYA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.118717",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036118717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036.118717",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwilliams@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KENYA",
            "last_name": "STARKS",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.