Individual provider Active NPI

Tanya Maile Williams, MD

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1366495459
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7844110-1205 Issued in UT
Practice address
404 S 400 W
Salt Lake City, UT 84101-2201
Phone
(801) 364-0058
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7844110-1205 UT Primary

Addresses

Primary practice location

404 S 400 W
Salt Lake City, UT 84101-2201

Mailing address

404 S 400 W
Salt Lake City, UT 84101-2201
Phone (801) 364-0058

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address twilliams300170@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140708001813 UT Practitioner - Family Practice 2264657295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.22 of 100Reported as group
Quality
83.74
Promoting interoperability
100
Improvement activities
40
Cost
66.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7844110-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wasatch Homeless Health Care, Inc. Family Medicine CurrentSince May 24, 2014 Accepting new patients
University of Utah Behavioral Health Services Current Accepting new patients
University of Utah Behavioral Health Services CurrentSince Jun 25, 2018 Accepting new patients
University of Utah Behavioral Health Services CurrentSince Jun 25, 2018 Accepting new patients
Wasatch Homeless Health Care, Inc. Past Accepting new patients

Locations

8955 S Harrison St
Sandy, UT 84070
Phone (801) 364-0058

409 W 400 S
Slc, UT 84101
Phone (801) 364-0058

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

240 Morris Ave
Ste 400
South Salt Lake, UT 84115
Phone (801) 581-5515

Interoperability endpoints

  • Direct secure messaging: twilliams300170@direct.med.utah.edu

Organizations & group practices 5

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1366495459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S 400 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012201",
            "telephone_number": "801-364-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S 400 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012201",
            "telephone_number": "801-364-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TANYA",
        "middle_name": "MAILE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "7844110-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twilliams300170@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.