Individual provider Active NPI

Elwood Fray Williams, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Oklahoma City, OK
National Provider Identifier
1366542896
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
17492 Issued in OK
Practice address
5401 N Portland Ave
Suite 510
Oklahoma City, OK 73112-1670
Phone
(405) 604-4210
Fax
(405) 604-4241
NPI assigned
Sep 24, 2006
Last updated
Aug 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 17492 OK
Sleep Medicine (Internal Medicine) Physician 207RS0012X 17492 OK Primary

Addresses

Primary practice location

5401 N Portland Ave
Suite 510
Oklahoma City, OK 73112-1670

Mailing address

5401 N Portland Ave
Suite 510
Oklahoma City, OK 73112-2121
Phone (405) 604-4210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20070714000082 OK Practitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Pulmonary Disease 8224008305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Internal Medicine, Pulmonary Disease
Education
University of Mississippi School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Sleep Institute Clinic Okc LLC Osi ClinicGroup PAC ID 7113070731, 7 clinicians

Practice addresses (Care Compare)

13901 Technology Dr
Suite a
Oklahoma City, OK 73134-1052
Phone (405) 606-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17492OKMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Sleep Institute Clinic Okc LLC Osi Clinic CurrentSince Feb 1, 2018 Accepting new patients
Oklahoma Sleep Institute LLC CurrentSince Feb 1, 2018 Accepting new patients
Sleep Safe LLC Past Accepting new patients

Locations

13900 Wireless Way
#100
Oklahoma City, OK 73134

13901 Technology Dr
Oklahoma City, OK 73134

13901 Technology Dr
Ste A
Oklahoma City, OK 73134

Interoperability endpoints

  • Direct secure messaging: elwood.williams.1@13821.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13821/brand/2/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1366542896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N PORTLAND AVE",
            "address_2": "SUITE 510",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122121",
            "telephone_number": "405-604-4210",
            "fax_number": "405-604-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N PORTLAND AVE",
            "address_2": "SUITE 510",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731121670",
            "telephone_number": "405-604-4210",
            "fax_number": "405-604-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ELWOOD",
        "middle_name": "FRAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "17492",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OK",
            "license": "17492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.