Individual provider Active NPI

Holly Lynn Williams, MD

  • Pediatric Surgery Physician
  • San Antonio, TX
National Provider Identifier
1346256567
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
L6216 Issued in TX
Practice address
333 N Santa Rosa
San Antonio, TX 78207-3108
Phone
(210) 704-3030
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 01082032A IN
Pediatrics Physician 208000000X L6216 TX
Surgery Physician 208600000X L6216 TX
Pediatric Surgery Physician 2086S0120X D0053376 MD
Pediatric Surgery Physician 2086S0120X L6216 TX Primary
Pediatric Surgery Physician 2086S0120X G80966 CA

Addresses

Primary practice location

333 N Santa Rosa
San Antonio, TX 78207-3108

Mailing address

1 Captain Dr Unit 359
Emeryville, CA 94608-1726
Phone (559) 573-4817

Other practice location 1

6235 N Fresno St, Ste 106
Valley Pediatric Surgery Associates
Fresno, CA 93710
Phone (559) 440-9740

Other practice location 2

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444

Other practice location 3

11123 Parkview Plaza Dr Ste 201
Fort Wayne, IN 46845-1707
Phone (260) 425-5950

Other identifiers 2

IdentifierTypeStateIssuer
015123800MedicaidMD
27-0271872MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hwilliams259064@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY, WV, DE, OH, TX7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20190513001748 IL Practitioner - General SurgeryPractitioner - Pediatric Medicine 1355393927 Reassigns benefits to 1 organization
I20200626000625 NY Practitioner - Pediatric Medicine 1355393927 Reassigns benefits to 1 organization
I20210408000849 WV Practitioner - General SurgeryPractitioner - Pediatric Medicine 1355393927
I20221124000058 DE Practitioner - General Surgery 1355393927 Reassigns benefits to 1 organization
I20230816001907 IL Practitioner - Pediatric Medicine 1355393927 Reassigns benefits to 1 organization
I20231107003116 OH Practitioner - General Surgery 1355393927 Reassigns benefits to 1 organization
I20260522001667 TX Practitioner - Pediatric Medicine 1355393927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of California, San Francisco School of Medicine, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4849 N Mesa St
Suite 201
El Paso, TX 79912-5919

PO Box
Suite 33029
Belfast, ME 04915-0608

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30233WVMDLicensed Practical Nurse
G80966CAMDPediatric Surgery Physician
L6216TXMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Dec 15, 2022 Accepting new patients
Carle Health Care Incorporated CurrentSince Jul 26, 2023 Accepting new patients
The Nemours Foundation CurrentSince Dec 15, 2022 Accepting new patients
New York University CurrentSince Jul 1, 2020 Accepting new patients
New York University CurrentSince Jul 1, 2020 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Sep 25, 2023 Accepting new patients
Rockford Health Physicians CurrentSince Apr 18, 2019 Accepting new patients
Fort Wayne Cardiology Corporation Past Accepting new patients

Locations

1600 Rockland Rd
Wilmington, DE 19803

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

Interoperability endpoints

  • Direct secure messaging: hwilliams362525@nyumc.direct-ci.com
  • Direct secure messaging: hwilliamsmd376619@carlehiedirect.net

Organizations & group practices 9

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1346256567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CAPTAIN DR UNIT 359",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081726",
            "telephone_number": "559-573-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6235 N Fresno St, Ste 106",
            "address_2": "Valley Pediatric Surgery Associates",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93710",
            "country_code": "US",
            "telephone_number": "559-440-9740",
            "fax_number": "559-440-9771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4845 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-298-5444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11123 Parkview Plaza Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451707",
            "country_code": "US",
            "telephone_number": "260-425-5950",
            "fax_number": "260-425-5165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HOLLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "IN",
            "license": "01082032A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L6216",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L6216",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MD",
            "license": "D0053376",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "L6216",
            "primary": true
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "G80966",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015123800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27-0271872",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hwilliams259064@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.