Individual provider Active NPI

James Dewey Williams, MD

  • Otolaryngology Physician
  • Waterbury, CT
National Provider Identifier
1467404657
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
55595 Issued in CT
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

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
891335AMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161003001339 CT Practitioner - Otolaryngology 6608778592 Reassigns benefits to 1 organization

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
Naugatuck Valley Ear, Nose and Throat Associates, LLCGroup PAC ID 7012045107, 8 clinicians

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 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
James D. Williams, MD, PC Otolaryngology CurrentSince May 5, 2003 Accepting new patients
Naugatuck Valley Ear, Nose and Throat Associates, LLC Otolaryngology CurrentSince Sep 1, 2016 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
University Physicians Group P C Past Accepting new patients
David E. Bank, M.D., P.C. PastSince Feb 13, 1997 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.