Kynan Dewan Williams, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N4845 Issued in TX

Practice address

3101 E President George Bush Hwy
Richardson, TX 75082-3547

Phone

(800) 991-6117

Fax

(888) 812-8191

NPI assigned

Nov 4, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

University of Texas Southwestern Medical School at Dallas, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Uvc Medical PLLCGroup PAC ID 4385085521, 18 clinicians

USA Vein Clinics of Dallas PLLCGroup PAC ID 2365878295, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 43)

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.

• Texas Uvc Medical PLLC

  • Surgery Physician
  • Fort Worth, TX
  • NPI 1447023528
  Medicare reassignment Care Compare group NPD
• USA Vein Clinics of Dallas PLLC

  • Vascular Surgery Physician
  • Dallas, TX
  • NPI 1205488632
  Medicare reassignment Care Compare group
• Srinivas Rao MD PA

  • Surgery Physician
  • Houston, TX
  • NPI 1972941318
  Medicare reassignment NPD
• Total MD Physicians Group, PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1982031852
  Medicare reassignment NPD
• USA Vascular Center of Dallas PLLC

  • Vascular Surgery Physician
  • Wylie, TX
  • NPI 1245875061
  Medicare reassignment NPD
• Choctaw Nation of Oklahoma

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623

  TX

  Medicare reassignment NPD
• Medical Experts of Texas, P.a.

  • Hospitalist Physician
  • Lewisville, TX
  • NPI 1730395989
  Medicare reassignment
• Texas Interventional and Vascular Specialists PA

  • Vascular Surgery Physician
  • Houston, TX
  • NPI 1962849034
  NPD
• Choctaw Nation of Oklahoma

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Broken Bow, OK
  • NPI 1447143532
  NPD
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Broken Bow, OK
  • NPI 1770559619
  NPD
• Home Dialysis of Illinois LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Northbrook, IL
  • NPI 1881304566
  NPD
• Northstar Dermatology, PA

  • Dermatology Physician
  • North Richland Hills, TX
  • NPI 1407176043
  NPD (past)

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1497908495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 E PRESIDENT GEORGE BUSH HWY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823547",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KYNAN",
        "middle_name": "DEWAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "TX",
            "license": "N4845",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N4845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Edwin Williams, MD
• Embry W Williams III, MD
• Georgia Clair Williams
• Jenifer Denise Williams, M.S.
• Kivea Williams
• Stephanie Celeste Williams, AU.D.
• Tashon Williams
• Tevin Williams
• Timothy Leon Williams, O.T.R.
• Jamie L Williamson, MD

• Family Medicine Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.

Verify at the official NPI Registry.