Individual provider Active NPI

Calvin Lamont Williams, M.D.

  • Dermatology Physician
  • Bedford, TX
National Provider Identifier
1427461391
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R5228 Issued in TX
Practice address
1600 Central Drive
Ste 158
Bedford, TX 76022
Phone
(817) 736-2912
Fax
(817) 736-2912
NPI assigned
Jun 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X R5228 TX Primary

Addresses

Primary practice location

1600 Central Drive
Ste 158
Bedford, TX 76022

Mailing address

1600 Central Drive
Ste 158
Bedford, TX 76022
Phone (817) 736-2912

Other practice location 1

9808 N Beach St Ste 600
Fort Worth, TX 76244
Phone (817) 741-7515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180927000744 TX Practitioner - Dermatology 6103042197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essential Dermatology Group, PLLCGroup PAC ID 9638586928, 2 clinicians

Practice addresses (Care Compare)

1600 Central Dr
Suite 158
Bedford, TX 76022-6015
Phone (682) 503-2023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24
Removal of tissue1-10
Removal of skin lesions486
Removal or shaving of skin growth1-10
Skin biopsy188

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5228TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Jul 1, 2018 Accepting new patients
Essential Dermatology Group, PLLC Dermatology CurrentSince May 10, 2021 Accepting new patients
Dermatology Associates Dermatology PastSince Jul 1, 2018 Accepting new patients

Locations

1600 Central Dr
Ste 158
Bedford, TX 76022
Phone (682) 503-2023

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

9808 N Beach St
Ste 600
Fort Worth, TX 76244
Phone (817) 741-7515

2321 Ira E Woods Ave
Ste 180
Grapevine, TX 76051
Phone (817) 329-2263

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00121

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1427461391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CENTRAL DRIVE",
            "address_2": "STE 158",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76022",
            "telephone_number": "817-736-2912",
            "fax_number": "817-736-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CENTRAL DRIVE",
            "address_2": "STE 158",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76022",
            "telephone_number": "817-736-2912",
            "fax_number": "817-736-2912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9808 N Beach St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76244",
            "country_code": "US",
            "telephone_number": "817-741-7515",
            "fax_number": "817-741-7516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CALVIN",
        "middle_name": "LAMONT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-08",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R5228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.