Individual provider Active NPI

Whitley Williams, DPM

  • Foot & Ankle Surgery Podiatrist
  • Camp Springs, MD
National Provider Identifier
1679968101
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01658 Issued in MD
Practice address
5801 Allentown Rd Ste 4005801
Camp Springs, MD 20746-4563
Phone
(301) 868-0150
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01658 MD Primary

Addresses

Primary practice location

5801 Allentown Rd Ste 4005801
Camp Springs, MD 20746-4563

Mailing address

5801 Allentown Rd Ste 400
Camp Springs, MD 20746-4585
Phone (301) 868-0150

Other identifiers 1

IdentifierTypeStateIssuer
1679968101OtherMDNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181105000065 MD Practitioner - Podiatry 0345593646 Reassigns benefits to 3 organizations
I20220216001645 DC Practitioner - Podiatry 0345593646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Howard University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Maryland Medical Group LLCGroup PAC ID 5395893655, 21 clinicians

Practice addresses (Care Compare)

7500 Greenway Ctr Dr
Suite 1200
Greenbelt, MD 20770-3556
Phone (301) 486-7580

Merit-based Incentive Payment System (MIPS)

Final score
87 of 100Reported as group
Quality
86.7
Promoting interoperability
99
Improvement activities
40
Cost
70.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue265
Removal or shaving of skin growth69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wiener and Daniels, DPM, PA Podiatrist CurrentSince Jun 1, 2019 Accepting new patients
Northwest Hospital Center, Inc. CurrentSince Mar 15, 2021 Accepting new patients
Hyperheal Hyperbarics Inc CurrentSince Jun 15, 2019 Accepting new patients
Northwest Hospital Center, Inc Current Accepting new patients
Southern Maryland Medical Group LLC CurrentSince Jan 20, 2022 Accepting new patients
Northwest Hospital Center, Inc CurrentSince Mar 15, 2021 Accepting new patients

Locations

5801 Allentown Rd
Ste 400
Camp Springs, MD 20746
Phone (301) 868-0150

1811 Crain Hwy S
Ste B
Glen Burnie, MD 21061

7500 Greenway Center Dr
Ste 1200
Greenbelt, MD 20770
Phone (301) 486-7580

8116 Good Luck Rd
Ste 305
Lanham, MD 20706
Phone (301) 486-7580

20 Crossroads Dr
Ste 15
Owings Mills, MD 21117
Phone (410) 235-2345

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

9411 Philadelphia Rd
Ste F
Rosedale, MD 21237
Phone (410) 433-4300

7600 Osler Dr
Ste 305
Towson, MD 21204
Phone (410) 296-0021

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1679968101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD STE 400",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464585",
            "telephone_number": "301-868-0150",
            "fax_number": "301-868-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD STE 4005801",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464563",
            "telephone_number": "301-868-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WHITLEY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679968101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Springs, MD

Sources for this page

Verify at the official NPI Registry.