Individual provider Active NPI

Hanif Mortlake Williams, M.D., P.A.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1679521751
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0044983 Issued in FL
Practice address
11030 N Kendall Dr
Suite #200
Miami, FL 33176-1220
Phone
(305) 271-3131
Fax
(305) 595-8043
NPI assigned
May 4, 2006
Last updated
May 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0044983 FL Primary

Addresses

Primary practice location

11030 N Kendall Dr
Suite #200
Miami, FL 33176-1220

Mailing address

11030 N Kendall Dr
Suite #200
Miami, FL 33176-1220
Phone (305) 271-3131

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hanifw@cerner.directbaptisthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051013000265 FL Practitioner - Family Practice 6800811340

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0044983FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1679521751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 N KENDALL DR",
            "address_2": "SUITE #200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761220",
            "telephone_number": "305-271-3131",
            "fax_number": "305-595-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 N KENDALL DR",
            "address_2": "SUITE #200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761220",
            "telephone_number": "305-271-3131",
            "fax_number": "305-595-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HANIF",
        "middle_name": "MORTLAKE",
        "name_prefix": "Dr.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0044983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hanifw@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "11030 N Kendall Dr",
            "address_2": "SUITE #200",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331761220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.