Individual provider Active NPI

Steven M Williams, M.D.

  • Ophthalmology Physician
  • New Hartford, NY
National Provider Identifier
1417952193
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
208523 Issued in NY
Practice address
4350 Middle Settlement Rd
New Hartford, NY 13413-5345
Phone
(315) 732-0995
Fax
(315) 732-0689
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 208523 NY Primary

Addresses

Primary practice location

4350 Middle Settlement Rd
New Hartford, NY 13413-5345

Mailing address

4350 Middle Settlement Rd
New Hartford, NY 13413-5345
Phone (315) 732-0995

Other identifiers 4

IdentifierTypeStateIssuer
01995757MedicaidNY
040220000036OtherNYFIDELIS PROVIDER ID NUMBE
965854OtherNYMVP PROVIDER ID NUMBER
990012406OtherNYRAILROAD MEDICARE ID NUM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110414000166 NY Practitioner - Ophthalmology 5092895383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Virginia Commonwealth University, School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mohawk Valley Retina PLLCGroup PAC ID 1355526864, 2 clinicians
Ophthalmology Medical Service Group IncGroup PAC ID 0446248033, 30 clinicians

Practice addresses (Care Compare)

4350 Middle Settlement Rd
Suite B
New Hartford, NY 13413-5343
Phone (315) 732-0995

550 Harrison St L
Syracuse, NY 13202-3188
Phone (315) 464-5230

Hospital & facility affiliations

  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
  • Wynn Hospital Hospital, Utica, NY, CCN 330044

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
95.16
Promoting interoperability
100
Improvement activities
40
Cost
56.96

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208523NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mohawk Valley Retina, PLLC Ophthalmology CurrentSince Feb 1, 2002 Accepting new patients
Ophthalmology Medical Service Group Inc Ophthalmology CurrentSince Apr 1, 2002 Accepting new patients

Locations

83 Genesee St
New Hartford, NY 13413
Phone (315) 732-0995

4350 Middle Settlement Rd
Ste B
New Hartford, NY 13413
Phone (315) 732-0995

4350 Middle Settlement Rd
New Hartford, NY 13413
Phone (315) 732-2020

550 Harrison St
Ste 340
Syracuse, NY 13202
Phone (315) 464-5230

Interoperability endpoints

  • Direct secure messaging: swilliams7457@direct.upstate.edu
  • Direct secure messaging: swilliams@mvretina.medentdirect.com

Organizations & group practices 2

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 2

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1417952193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 MIDDLE SETTLEMENT RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135345",
            "telephone_number": "315-732-0995",
            "fax_number": "315-732-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 MIDDLE SETTLEMENT RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135345",
            "telephone_number": "315-732-0995",
            "fax_number": "315-732-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "208523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01995757",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS PROVIDER ID NUMBE",
            "identifier": "040220000036",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROVIDER ID NUMBER",
            "identifier": "965854",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID NUM",
            "identifier": "990012406",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.