Wayne C Williamson, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

036059450 Issued in IL

Practice address

1276 N Clybourn Ave
Chicago, IL 60610-2089

Phone

(312) 337-1073

NPI assigned

Jan 19, 2007

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

University of Cincinnati College of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vivek Gupta, M.D., S.C.Group PAC ID 3678668308, 28 clinicians

Family Primary and Urgent Physicians IncGroup PAC ID 6800367426, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• P W Home Health, Inc Home health agency, Oakbrook Ter, IL, CCN 147832

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Vivek Gupta, M.D., S.C.

  dba Omni Healthcare

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1033300694
  Medicare reassignment Care Compare group NPD
• Family Primary and Urgent Physicians Inc

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1760329098
  Medicare reassignment Care Compare group
• Family Wound Care Physicians Inc

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1013733922
  Medicare reassignment NPD
• Healogics Specialty Physicians of Illinois, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Alton, IL
  • NPI 1215355110
  Medicare reassignment NPD
• Family Care Physicians Inc

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1376154088
  NPD
• Osh-in Physicians Group, PC

  • Primary Care Clinic/Center
  • Indianapolis, IN
  • NPI 1073995338

  Geriatric Medicine

  NPD (past)
• Osh-Oh Physicians Group PC

  dba OSH-OH Physicians Group, LLC

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1346747946
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• P.W. Home Health Inc

  • Home Health Agency
  • Oakbrook Terrace, IL
  • NPI 1417962812
  Care Compare affiliation

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1699828061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 SHERIDAN RD",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021473",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N CLYBOURN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102089",
            "telephone_number": "312-337-1073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "864 SHERIDAN RD",
            "address_purpose": "LOCATION",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021473",
            "country_code": "US",
            "telephone_number": "219-237-5170",
            "fax_number": "219-321-1931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "WAYNE",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036059450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "31603083",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059450",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter R Williamson
• Reginald Lamont Williamson
• Shalena Williamson
• Sherri A Williamson, LPC
• Taylor Williamson
• Willa L Williamson, APN
• Willing to Risk Therapy LLC
• Caroline Willinger, CCC-SLP
• Delaney Willingham
• Eshanti Willingham, BSN, RN

• Geriatric Medicine (Internal Medicine) Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.