Individual provider Active NPI

Robert W Williams Jr., MD

  • Vascular & Interventional Radiology Physician
  • Dearborn, MI
National Provider Identifier
1548424286
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD 34053 Issued in AL
Practice address
18101 Oakwood Blvd
Oakwood Hospital and Medical Center
Dearborn, MI 48124-4089
Phone
(313) 436-2577
NPI assigned
Jul 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301092943 MI
Vascular & Interventional Radiology Physician 2085R0204X MD 34053 AL Primary

Addresses

Primary practice location

18101 Oakwood Blvd
Oakwood Hospital and Medical Center
Dearborn, MI 48124-4089

Mailing address

2055 Normandie Dr
Montgomery, AL 36111-2732
Phone (334) 269-6337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 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
I20150508001815 AL Practitioner - Diagnostic Radiology 3577704071 Reassigns benefits to 2 organizations
I20260611001074 TX Practitioner - Diagnostic Radiology 3577704071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

144 Intracoastal Dr
Madison, AL 35758-9424
Phone (281) 742-0469

1625 Medical Ctr Dr
El Paso, TX 79902-5005
Phone (281) 870-4592

2000 Transmountain Rd
El Paso, TX 79911-3601
Phone (915) 877-8136

230 New Providence Way
Pike Road, AL 36064-2562
Phone (281) 742-0469

601 Sunland Park Dr
El Paso, TX 79912-5131
Phone (915) 577-8421

Hospital & facility affiliations

  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668
  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107
  • The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047
  • The Hospitals of Providence Transmountain Campus Hospital, El Paso, TX, CCN 670120
  • The Hospitals of Providence - Memorial Campus Hospital, El Paso, TX, CCN 450002

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301092943MIMDDiagnostic Radiology Physician
MD 34053ALMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Diagnostic Radiology Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Medvision, L.L.C. Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Radiology Group, P.a. Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Singleton Associates PA Diagnostic Radiology Past Accepting new patients
Jackson Hospital & Clinic, Inc. PastSince Mar 1, 2023 Accepting new patients

Locations

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1825 Park Pl
Montgomery, AL 36106
Phone (334) 293-8747

5007 Summerville Rd
Phenix City, AL 36867
Phone (334) 323-3937

100 Bascom Ct
Columbus, GA 31909
Phone (706) 350-5800

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 6

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1548424286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 NORMANDIE DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112732",
            "telephone_number": "334-269-6337",
            "fax_number": "334-834-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "address_2": "OAKWOOD HOSPITAL AND MEDICAL CENTER",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244089",
            "telephone_number": "313-436-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301092943",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AL",
            "license": "MD 34053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.