Active NPI
Peter B Williams, DPM
- Podiatrist
- Port Richey, FL
National Provider Identifier
1376528679
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Nov 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- P02239
- Practice address
- 10148 US Highway 19
Port Richey, FL 34668-3743 - Phone
- (727) 869-9191
- Fax
- (727) 869-9220
- NPI assigned
- Dec 8, 2005
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | P02239 | FL | Primary |
Addresses
Primary practice location
10148 US Highway 19
Port Richey, FL 34668-3743
Mailing address
PO Box 1084
Port Richey, FL 34673-1084
Phone (727) 869-9191
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058885700 | Medicaid | FL | |
| P00116444 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P02239 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter B Williams DPM CWS PA | Podiatrist | Current | Accepting new patients |
Locations
10148 US Highway 19
Port Richey, FL 34668
Phone (727) 869-9191
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.
-
- Podiatrist
- Port Richey, FL
- NPI 1154428357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1376528679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1084",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346731084",
"telephone_number": "727-869-9191",
"fax_number": "727-869-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10148 US HIGHWAY 19",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346683743",
"telephone_number": "727-869-9191",
"fax_number": "727-869-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "PETER",
"middle_name": "B",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "P02239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058885700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00116444",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.