Individual provider Active NPI

Fred Harrison Williams, MD

  • Gastroenterology Physician
  • Chesterfield, MO
National Provider Identifier
1386644326
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
118411 Issued in MO
Practice address
17298 N Outer 40 Rd Ste 200
Chesterfield, MO 63005-1456
Phone
(314) 529-4900
Fax
(314) 434-2679
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 118411 MO Primary

Addresses

Primary practice location

17298 N Outer 40 Rd Ste 200
Chesterfield, MO 63005-1456

Mailing address

17298 N Outer 40 Rd Ste 200
Chesterfield, MO 63005-1456
Phone (314) 529-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100609000414 MO Practitioner - GastroenterologyPractitioner - Internal Medicine 2961580261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Gastroenterology IncGroup PAC ID 2668448713, 25 clinicians

Practice addresses (Care Compare)

17298 N Outer 40 Rd
Suite 200
Chesterfield, MO 63005-1456
Phone (314) 529-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.97 of 100Reported as group
Quality
79.89
Promoting interoperability
0
Improvement activities
40
Cost
83.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Gastroenterology Inc CurrentSince Oct 1, 2016 Accepting new patients

Locations

121 Saint Lukes Center Dr
Ste 406
Chesterfield, MO 63017
Phone (314) 432-5900

17298 North Outer 40 Rd
Ste 200
Chesterfield, MO 63005
Phone (314) 529-4900

621 S New Ballas Rd
Ste 228A
Saint Louis, MO 63141
Phone (314) 251-4966

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBJFAD

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1386644326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17298 N OUTER 40 RD STE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051456",
            "telephone_number": "314-529-4900",
            "fax_number": "314-434-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17298 N OUTER 40 RD STE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051456",
            "telephone_number": "314-529-4900",
            "fax_number": "314-434-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "FRED",
        "middle_name": "HARRISON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "118411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.