Individual provider Active NPI

Benjamin Thomas Williams, M.D.

  • Emergency Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1699091629
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A124541 Issued in CA
Practice address
University of Utah Dept of Emergency
30 North 1900 East RM 1C026
Salt Lake City, UT 84132-0001
Phone
(801) 581-2730
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A124541 CA Primary

Addresses

Primary practice location

University of Utah Dept of Emergency
30 North 1900 East RM 1C026
Salt Lake City, UT 84132-0001

Mailing address

343 S Via de Los Campos
Tucson, AZ 85711-7447
Phone (520) 245-1552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130715000803 CA Practitioner - Emergency Medicine 1557517794 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arizona College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northbay Physicians Surgery Center, LLCGroup PAC ID 0042122244, 336 clinicians

Practice addresses (Care Compare)

1000 Nut Tree Rd
Vacaville, CA 95687-4100
Phone (707) 624-7000

1020 Nut Tree Rd
Vacaville, CA 95687-4100

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600

Hospital & facility affiliations

  • Northbay Medical Center Hospital, Fairfield, CA, CCN 050367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine CurrentSince Jun 15, 2013 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Solano Gateway Medical Group Inc Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Northbay Healthcare Group CurrentSince Dec 1, 2019 Accepting new patients
Northbay Healthcare Group CurrentSince Dec 1, 2019 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Emergency Physicians Integrated Care, LLC Emergency Medicine Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2000 Sutter Pl
Davis, CA 95616
Phone (530) 756-6440

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1699091629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 S VIA DE LOS CAMPOS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117447",
            "telephone_number": "520-245-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF UTAH DEPT OF EMERGENCY",
            "address_2": "30 NORTH 1900 EAST RM 1C026",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-581-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BENJAMIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A124541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.