Individual provider Active NPI

Kyle Evan Williams, MD

  • Ophthalmology Physician
  • Rochester, NY
National Provider Identifier
1497715460
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
231596 Issued in NY
Practice address
2301 Lac de Ville Blvd
Rochester, NY 14618-5646
Phone
(585) 244-0332
Fax
(585) 473-8833
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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 231596 NY Primary

Addresses

Primary practice location

2301 Lac de Ville Blvd
Rochester, NY 14618-5646

Mailing address

2301 Lac de Ville Blvd
Rochester, NY 14618-5646
Phone (585) 244-0332

Other identifiers 1

IdentifierTypeStateIssuer
02551077MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwilliams26296@direct.rochesterregional.org

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
I20040827000919 NY Practitioner - Ophthalmology 7618942269 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of New Mexico School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

1455 E Ridge Rd
Rochester, NY 14621-2006
Phone (585) 922-5033

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery225
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Dec 1, 2004 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince May 1, 2022 Accepting new patients
Rochester General Hospital Ophthalmology CurrentSince Dec 1, 2004 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Dec 13, 2021 Accepting new patients
Rochester Eye Associates Physicians and Surgeons PC CurrentSince Jul 19, 2004 Accepting new patients
Western New York Medical Practice P.C Ophthalmology CurrentSince Dec 13, 2021 Accepting new patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1455 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-4103

10 S Pointe Lndg
Ste 230
Rochester, NY 14606
Phone (585) 244-0332

2301 Lac de Ville Blvd
Rochester, NY 14618
Phone (585) 244-0332

Interoperability endpoints

  • Direct secure messaging: kwilliams26296@direct.rochesterregional.org

Organizations & group practices 8

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1497715460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 LAC DE VILLE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185646",
            "telephone_number": "585-244-0332",
            "fax_number": "585-473-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LAC DE VILLE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185646",
            "telephone_number": "585-244-0332",
            "fax_number": "585-473-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KYLE",
        "middle_name": "EVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "231596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02551077",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwilliams26296@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "2301 Lac De Ville Blvd",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146185646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.