Individual provider Active NPI

Kenneth H Williams, M.D.

  • Internal Medicine Physician
  • Catonsville, MD
National Provider Identifier
1649213240
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0033448 Issued in MD
Practice address
6501 Baltimore National Pike Ste D
Catonsville, MD 21228-3923
Phone
(667) 234-2100
Fax
(667) 234-2944
NPI assigned
Jun 13, 2006
Last updated
Apr 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0033448 MD Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X D0033448 MD

Addresses

Primary practice location

6501 Baltimore National Pike Ste D
Catonsville, MD 21228-3923

Mailing address

6501 Baltimore National Pike Ste D
Catonsville, MD 21228-3923
Phone (667) 234-2100

Other identifiers 1

IdentifierTypeStateIssuer
439751700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20080125000598 MD Practitioner - Internal Medicine 9234211574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Seton Medical Group IncGroup PAC ID 7416037924, 77 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

6501 Baltimore National Pike
Suite D
Catonsville, MD 21228-3923
Phone (667) 234-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0033448MDMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Medical Group, Inc Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2801 Foster Ave
Baltimore, MD 21224
Phone (410) 342-0333

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

6501 Baltimore National Pike
Catonsville, MD 21228
Phone (410) 740-0549

6501 Baltimore National Pike
Ste D
Catonsville, MD 21228
Phone (667) 234-2100

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

Interoperability endpoints

  • Direct secure messaging: kenneth.williams@sah.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension Saint Agnes HospitalBaltimore, MD, CCN 210011 Hospital Corporate Director
W-2 Managing Employee
Jul 1, 2018
Jul 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1649213240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 BALTIMORE NATIONAL PIKE STE D",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283923",
            "telephone_number": "667-234-2100",
            "fax_number": "667-234-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 BALTIMORE NATIONAL PIKE STE D",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283923",
            "telephone_number": "667-234-2100",
            "fax_number": "667-234-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENNETH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0033448",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D0033448",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "439751700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.