Active NPI
James Marshall Williams, D.O.
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1396741369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02000581A
- Practice address
- 1011 Main St
Ste 110
Indianapolis, IN 46224-6977 - Phone
- (317) 247-0201
- Fax
- (317) 481-6756
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 02000581A | IN | Primary |
Addresses
Primary practice location
1011 Main St
Ste 110
Indianapolis, IN 46224-6977
Mailing address
6626 E 75TH St
Ste 500
Indianapolis, IN 46250-2805
Phone (317) 621-7584
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000081247 | Other | IN | BLUE CROSS BLUE SHIELD |
| 100318810 | Medicaid | IN | |
| P01456978 | Other | IN | RAIL ROAD PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwilliams130553@eCommunityDirect.com | Community Physicians of Indiana Inc |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Interoperability endpoints
- jwilliams130553@ecommunitydirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1396741369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST",
"address_2": "STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502805",
"telephone_number": "317-621-7584",
"fax_number": "317-957-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 MAIN ST",
"address_2": "STE 110",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462246977",
"telephone_number": "317-247-0201",
"fax_number": "317-481-6756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JAMES",
"middle_name": "MARSHALL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2023-11-27",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02000581A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000081247",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100318810",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD PTAN",
"identifier": "P01456978",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwilliams130553@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "1011 Main St",
"address_2": "Ste 110",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462246977",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.