Active NPI
Austin James Williams, M.D.
- Family Medicine Physician
- Middletown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.136588
- Practice address
- 6147 State Route 122
Ste 200
Middletown, OH 45005-5201 - Phone
- (513) 261-3500
- Fax
- (513) 261-3509
- NPI assigned
- Apr 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.136588 | OH | Primary |
Addresses
Primary practice location
6147 State Route 122
Ste 200
Middletown, OH 45005-5201
Mailing address
6147 State Route 122 Ste 200
Middletown, OH 45005-5201
Phone (513) 261-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0363855 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | awilliams552408@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wright State University Boonshoft School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 E Alex Bell Rd
Suite 190
Dayton, OH 45459-2752
Phone (937) 425-4030
1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534
6147 State Route 122
Middletown, OH 45005-5201
Phone 5132613500513261
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Multi-Specialty | Current | Accepting new patients |
Locations
7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
6147 State Route 122
Ste 200
Middletown, OH 45005
Phone (513) 261-3500
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
Organizations & group practices 1
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.
-
dba Kettering Health Medical Group
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
Multi-Specialty
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kettering, OH
- NPI 1639195332
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
dba Kettering Health Main Campus
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
dba Kettering Health Miamisburg
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
-
- Home Health Agency
- Dayton, OH
- NPI 1679514376
-
dba Kettering Health Hamilton
- General Acute Care Hospital
- Hamilton, OH
- NPI 1104867167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1346604774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6147 STATE ROUTE 122 STE 200",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450055201",
"telephone_number": "513-261-3500",
"fax_number": "513-261-3509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6147 STATE ROUTE 122",
"address_2": "STE 200",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450055201",
"telephone_number": "513-261-3500",
"fax_number": "513-261-3509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "AUSTIN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-12",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "35.136588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0363855",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awilliams552408@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "6147 STATE ROUTE 122",
"address_2": "STE 200",
"city": "MIDDLETOWN",
"state": "OH",
"country_code": "US",
"postal_code": "450055201",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "6147 STATE ROUTE 122",
"address_2": "STE 200",
"city": "MIDDLETOWN",
"state": "OH",
"country_code": "US",
"postal_code": "450055201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.