Active NPI
Cleveland Williams, M.D
- General Practice Physician
- Washington, DC
National Provider Identifier
1417197435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD13627
- Practice address
- 2041 Martin Luther King Jr Ave SE
Suite LL2
Washington, DC 20020-7024 - Phone
- (202) 450-5891
- NPI assigned
- Mar 3, 2009
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD13627 | DC | Primary |
Addresses
Primary practice location
2041 Martin Luther King Jr Ave SE
Suite LL2
Washington, DC 20020-7024
Mailing address
2041 Martin Luther King Jr Ave SE Ste LL2
Washington, DC 20020-7025
Phone (402) 770-2761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD13627 | Other | DC | DC LICENSE |
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
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Care Medical Ctr LLC | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Washington, DC
- NPI 1801054010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722124800000",
"number": "1417197435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 MARTIN LUTHER KING JR AVE SE STE LL2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200207025",
"telephone_number": "402-770-2761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 MARTIN LUTHER KING JR AVE SE",
"address_2": "SUITE LL2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200207024",
"telephone_number": "202-450-5891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CLEVELAND",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-03",
"last_updated": "2024-07-28",
"certification_date": "2024-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "DC",
"license": "MD13627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC LICENSE",
"identifier": "MD13627",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.