Individual provider Active NPI

Daniel E Williams, M.D.

  • Medical Oncology Physician
  • Lewiston, ID
National Provider Identifier
1508809252
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
01090600A Issued in IN
Practice address
1250 Idaho St
Lewiston, ID 83501-1965
Phone
(208) 743-7427
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4301030881 MI
Hematology & Oncology Physician 207RH0003X MC-0528 ID
Medical Oncology Physician 207RX0202X 01090600A IN Primary

Addresses

Primary practice location

1250 Idaho St
Lewiston, ID 83501-1965

Mailing address

1540 Lake Lansing Rd
Ste 103
Lansing, MI 48912-3756
Phone (517) 913-3890

Other practice location 1

1540 Lake Lansing Rd
Ste 103
Lansing, MI 48912-3756
Phone (517) 913-3890

Other practice location 2

11050 Parkview Circle Dr
Fort Wayne, IN 46845-1739
Phone (833) 724-8326

Other identifiers 13

IdentifierTypeStateIssuer
1000914OtherMIMCLAREN HEALTH PLAN-MEDICAID
104833738MedicaidMI
1103300241OtherMIBCBS/BCN
0M76680001OtherMIMEDICARE ADVANTAGE
200000001034OtherMIPHP FAMILYCARE
900002953OtherMIRAILROAD MEDICARE
1000914OtherMIMCLAREN HEALTH ADVANTAGE
1103300241OtherMIHEALTHPLUS OF MICHIGAN
200000001034OtherMIPHP
3454811MedicaidMI
1000914OtherMIMCLAREN HEALTH PLAN-COMMERCIAL
3454830MedicaidMI
4062823OtherMIAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060315000263 MI Practitioner - Medical Oncology 8628980364 Reassigns benefits to 2 organizations
I20200727001986 ID Practitioner - Medical Oncology 8628980364 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MC-0528IDMDHematology & Oncology Physician
4301030881MIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Internal Medicine Current Accepting new patients
St Joseph Hospital LLC Internal Medicine CurrentSince Aug 22, 2020 Accepting new patients
Memorial Hospital CurrentSince Feb 1, 2006 Accepting new patients
Memorial Hospital CurrentSince Feb 1, 2006 Accepting new patients
Mid-Michigan Physicians, PC Internal Medicine PastSince Jan 1, 1998 Accepting new patients

Locations

1250 Idaho St
Lewiston, ID 83501
Phone (208) 743-7427

307 Saint Johns Way
Ste 11
Lewiston, ID 83501
Phone (208) 743-7612

341 Saint Johns Way
Lewiston, ID 83501
Phone (208) 750-7462

821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

721 N Shiawassee St
Ste 101
Owosso, MI 48867
Phone (989) 729-4673

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

Interoperability endpoints

  • Direct secure messaging: dwilliams274571@direct.wvuhsdirect.com
  • Direct secure messaging: danielwilliams@memh.allscriptsdirect.net

Organizations & group practices 6

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1508809252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 LAKE LANSING RD",
            "address_2": "STE 103",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123756",
            "telephone_number": "517-913-3890",
            "fax_number": "517-913-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 IDAHO ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011965",
            "telephone_number": "208-743-7427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 Lake Lansing Rd",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489123756",
            "country_code": "US",
            "telephone_number": "517-913-3890",
            "fax_number": "517-913-3891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11050 Parkview Circle Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451739",
            "country_code": "US",
            "telephone_number": "833-724-8326",
            "fax_number": "260-425-6845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANIEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301030881",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ID",
            "license": "MC-0528",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01090600A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN-MEDICAID",
            "identifier": "1000914",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104833738",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/BCN",
            "identifier": "1103300241",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "0M76680001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP FAMILYCARE",
            "identifier": "200000001034",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "900002953",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH ADVANTAGE",
            "identifier": "1000914",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS OF MICHIGAN",
            "identifier": "1103300241",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "200000001034",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3454811",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN-COMMERCIAL",
            "identifier": "1000914",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3454830",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4062823",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.