Individual provider Active NPI

Michelle Williams, MD

  • Pediatrics Physician
  • Sterling, VA
National Provider Identifier
1679657340
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101248534 Issued in VA
Practice address
6 Pidgeon Hill Dr
Suite 170
Sterling, VA 20165-6146
Phone
(703) 450-8660
Fax
(703) 404-0275
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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 0101248534 VA Primary

Addresses

Primary practice location

6 Pidgeon Hill Dr
Suite 170
Sterling, VA 20165-6146

Mailing address

6 Pidgeon Hill Dr
Suite 170
Sterling, VA 20165-6146
Phone (703) 450-8660

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
I20160901000926 MD Practitioner - Pediatric Medicine 4587950415 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101248534VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Family Care, Inc. Pediatrics CurrentSince Jul 1, 2016 Accepting new patients
University of Maryland Pediatric Associates, PA Pediatrics CurrentSince Sep 19, 2016 Accepting new patients
University of Maryland Pediatric Assoc PA CurrentSince Sep 19, 2016 Accepting new patients
University of Maryland Pediatric Associates, PA Pediatrics Current Accepting new patients
Maryland Family Care, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

301 Saint Paul St
Fl 12
Baltimore, MD 21202
Phone (410) 500-5500

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

Interoperability endpoints

  • Direct secure messaging: mwilliams35851@direct.mdmercy.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1679657340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PIDGEON HILL DR",
            "address_2": "SUITE 170",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656146",
            "telephone_number": "703-450-8660",
            "fax_number": "703-404-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PIDGEON HILL DR",
            "address_2": "SUITE 170",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656146",
            "telephone_number": "703-450-8660",
            "fax_number": "703-404-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101248534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.