Individual provider Active NPI

Barry Ralph Williams, M.D.

  • Pediatrics Physician
  • Mount Sterling, KY
National Provider Identifier
1639193766
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
38492 Issued in KY
Practice address
633 Maysville Rd
Mount Sterling, KY 40353-9767
Phone
(859) 404-7686
Fax
(859) 498-8160
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 38492 KY Primary

Addresses

Primary practice location

633 Maysville Rd
Mount Sterling, KY 40353-9767

Mailing address

236 W Main St
Mount Sterling, KY 40353-1348
Phone (859) 404-7686

Other practice location 1

858 Eastern Byp
Richmond, KY 40475-2512
Phone (859) 626-0072

Other identifiers 3

IdentifierTypeStateIssuer
37903705OtherKYMEDICAID LAB GRP
4000501OtherKYMEDICARE LAB GRP
64089824MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040626000485 KY Practitioner - Pediatric MedicinePractitioner - Internal Medicine 0244216588 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Health Solutions, Inc CurrentSince Oct 18, 2021 Accepting new patients
Memorial Hospital, Inc. Pediatrics CurrentSince Apr 24, 2016 Accepting new patients
Sterling Health Solutions Inc CurrentSince Oct 18, 2021 Accepting new patients
Memorial Hospital, Inc. Current Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

633 Maysville Rd
Mt Sterling, KY 40353
Phone (859) 274-4595

209 N Maysville St
Ste 200
Mt Sterling, KY 40353
Phone (859) 404-4686

44 Water St
Owingsville, KY 40360
Phone (606) 674-9776

Interoperability endpoints

  • Direct secure messaging: barry.williams.1@25737.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1639193766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W MAIN ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531348",
            "telephone_number": "859-404-7686",
            "fax_number": "859-498-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 MAYSVILLE RD",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403539767",
            "telephone_number": "859-404-7686",
            "fax_number": "859-498-8160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "858 Eastern Byp",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752512",
            "country_code": "US",
            "telephone_number": "859-626-0072",
            "fax_number": "859-626-9684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BARRY",
        "middle_name": "RALPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "38492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LAB GRP",
            "identifier": "37903705",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LAB GRP",
            "identifier": "4000501",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64089824",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sterling, KY

Sources for this page

Verify at the official NPI Registry.