Active NPI
James Dewey Williams, MD
- Otolaryngology Physician
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 55595
- Practice address
- 171 Grandview Ave
Suite 201
Waterbury, CT 06708-2517 - Phone
- (203) 578-4630
- Fax
- (203) 579-4629
- NPI assigned
- May 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 200300429 | NC | |
| Otolaryngology Physician | 207Y00000X | 55595 | CT | Primary |
Addresses
Primary practice location
171 Grandview Ave
Suite 201
Waterbury, CT 06708-2517
Mailing address
171 Grandview Ave
Suite 201
Waterbury, CT 06708-2517
Phone (203) 578-4630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891335A | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nvent@allmedsccd.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
171 Grandview Ave
Suite 201
Waterbury, CT 06708-2520
Phone (203) 578-4630
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James D. Williams, MD, PC | Otolaryngology | Current | Accepting new patients |
| Naugatuck Valley Ear, Nose and Throat Associates, LLC | Otolaryngology | Current | Accepting new patients |
| Park Avenue Medical Associates, P.C. | Past | Accepting new patients | |
| University Physicians Group P C | Past | Accepting new patients | |
| David E. Bank, M.D., P.C. | Past | Accepting new patients |
Locations
171 Grandview Ave
Ste 201
Waterbury, CT 06708
Phone (203) 578-4630
103 Professional Park
Ste B
Oxford, NC 27565
Phone (919) 603-0044
1001 College St
Oxford, NC 27565
Phone (919) 692-0003
Interoperability endpoints
- jwilliams27681@connecticutchildrens.direct-ci.com
Organizations & group practices 5
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.
-
- Otolaryngology Physician
- Waterbury, CT
- NPI 1326362799
-
- Otolaryngology Physician
- Oxford, NC
- NPI 1952580086
-
- Dermatology Physician
- Mount Kisco, NY
- NPI 1962695072
-
- Geriatric Medicine (Family Medicine) Physician
- White Plains, NY
- NPI 1730138645
-
- General Practice Physician
- Staten Island, NY
- NPI 1104872134
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1760426969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1467404657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 GRANDVIEW AVE",
"address_2": "SUITE 201",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082517",
"telephone_number": "203-578-4630",
"fax_number": "203-579-4629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 GRANDVIEW AVE",
"address_2": "SUITE 201",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082517",
"telephone_number": "203-578-4630",
"fax_number": "203-579-4629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JAMES",
"middle_name": "DEWEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "200300429",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CT",
"license": "55595",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891335A",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nvent@allmedsccd.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "171 Grandview Ave",
"address_2": "Suite 201",
"city": "Waterbury",
"state": "CT",
"country_code": "US",
"postal_code": "067082517",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.