Derek Edwin Williams, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME124590 Issued in FL

Practice address

2821 E. President George Bush Turnpike
Suite 404
Richardson, TX 75082

Phone

(214) 943-2200

Fax

(214) 943-2201

NPI assigned

Jul 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Thoracic Surgery

Education

Washington University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Dallas, TX, CCN 678243
• Enhabit Home Health Home health agency, Allen, TX, CCN 457789
• Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
• Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
• Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dwilliams51146@dm.mhd.com

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.

• Medhealth

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1912957200
  Medicare reassignment Care Compare group NPD
• Medhealth

  • Urgent Care Clinic/Center
  • Grand Prairie, TX
  • NPI 1558762690
  NPD
• Advanced Pain & Rehabilitation Association PLLC

  • Physical Medicine & Rehabilitation Physician
  • Wylie, TX
  • NPI 1215404637
  NPD (past)

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

• Lake Pointe Operating Company, LLC

  • General Acute Care Hospital
  • Rowlett, TX
  • NPI 1205018439
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Richardson, TX
  • NPI 1033165501
  Care Compare affiliation
• Texas Heart Hospital of the Southwest, LLC

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1962504340
  Care Compare affiliation
• Texas Senior Care, LP

  • Home Health Agency
  • Dallas, TX
  • NPI 1538342217
  Care Compare affiliation
• Texas Senior Care, LP

  • Home Health Agency
  • Allen, TX
  • NPI 1851361166
  Care Compare affiliation

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1336349448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY STE 404",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824278",
            "telephone_number": "214-943-2200",
            "fax_number": "214-943-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E. PRESIDENT GEORGE BUSH TURNPIKE",
            "address_2": "SUITE 404",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75082",
            "telephone_number": "214-943-2200",
            "fax_number": "214-943-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEREK",
        "middle_name": "EDWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "P0321",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME124590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015147600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William M Mania MD PA
• William T Lin MD PA
• Alyssa Williams, LAT, ATC
• Bridget Shawntay Williams, NP-C
• Cheryl Denise Williams, ACNS-BC
• Embry W Williams III, MD
• Georgia Clair Williams
• Jenifer Denise Williams, M.S.
• Kivea Williams
• Kynan Dewan Williams, M.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.

Verify at the official NPI Registry.