NPIMap

Individual provider Active NPI

Jason Douglas Williams, M.D.

  • Interventional Pain Medicine Physician
  • Meridian, ID
National Provider Identifier
1609225762
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
M-16138 Issued in ID
Practice address
1256 S Rackham Way Ste 100
Meridian, ID 83642-8938
Phone
(208) 800-9040
Fax
(208) 252-6479
NPI assigned
Jun 9, 2016
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X M-16138 ID Primary
Interventional Pain Medicine Physician 208VP0014X MD221988 OR

Addresses

Primary practice location

1256 S Rackham Way Ste 100
Meridian, ID 83642-8938

Mailing address

1256 S Rackham Way Ste 100
Meridian, ID 83642-8938
Phone (208) 800-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200421002603 UT Practitioner - Anesthesiology 9234417205 Reassigns benefits to 1 organization
I20211102002425 ID Practitioner - Pain Management 9234417205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Colorado School of Medicine, Aurora, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1055 N Curtis
Boise, ID 83706-1309

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

2960 E St Lukes St
Meridian, ID 83642-3506
Phone (208) 800-9040

3025 W Cherry LN
Meridian, ID 83642-8531

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
Apex Advanced Spine & Pain PLLC Pain Medicine CurrentSince Sep 10, 2025 Accepting new patients
University of Utah Adult Services Anesthesiology CurrentSince Apr 14, 2020 Accepting new patients
University of Utah Adult Services CurrentSince Apr 14, 2020 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc Interventional Pain Medicine CurrentSince Dec 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Pain Medicine CurrentSince Dec 1, 2021 Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

2960 E St Lukes St Ste
Meridian, ID 83642
Phone (208) 800-9040

2960 E St Lukes St Ste
Ste 100
Meridian, ID 83642

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: jwilliams1551481@direct.trinity-health.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1609225762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 S RACKHAM WAY STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428938",
            "telephone_number": "208-800-9040",
            "fax_number": "208-252-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 S RACKHAM WAY STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428938",
            "telephone_number": "208-800-9040",
            "fax_number": "208-252-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASON",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "ID",
            "license": "M-16138",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OR",
            "license": "MD221988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.