Active NPI
Kenya M Williams, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 036118717
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036.118717 | Other | IL | LICENSE |
Other names 1
- Kenya M Starks
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.118717 | IL | MD | Ophthalmology Physician |
| 036118717 | IL | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KM Williams MD SC | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Geneva Eye Clinic LTD | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Raj K Goyal MD SC | Ophthalmology | Current | Accepting new patients |
| Helix Eye Care PC | Ophthalmology | Current | 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 | Current | Accepting new patients | |
| Retina Associates LTD | Ophthalmology | Current | Accepting new patients |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Suburban Eyes Clinic, LLC | Ophthalmology | Current | Accepting new patients |
| Eye Center Physicians, LTD. | Ophthalmology | Current | 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
- https://fhir4.healow.com/fhir/r4/GBAEDD/Endpoint/GBAEDD
- kwilliams125540@direct.rush.rush-health.com
- 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.
-
- Ophthalmology Physician
- Chicago, IL
- NPI 1992715650
-
- Ophthalmologic Surgery Clinic/Center
- Chicago, IL
- NPI 1003340415
-
- Ophthalmology Physician
- Evanston, IL
- NPI 1982886883
-
- Ophthalmology Physician
- Schererville, IN
- NPI 1477947034
-
dba John H. Stroger, Jr. Hospital of Cook County
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Ophthalmology Physician
- Bedford Park, IL
- NPI 1366572380
-
dba Aspirus Stevens Point Clinic - Illinois Avenue
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
dba Aspirus Wausau Hospital Hospitalists
- Clinic/Center
- Wausau, WI
- NPI 1922321140
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
dba Oak Forest Hospital E Building Pharmacy
- Mail Order Pharmacy
- Oak Forest, IL
- NPI 1215955802
-
dba Cook County Health & Hospitals System Physician Services
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Evanston Hospital
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.