Individual provider Active NPI

Emoliere Chanel Williams, MD

  • Family Medicine Physician
  • Stamford, CT
National Provider Identifier
1700041118
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
049041 Issued in CT
Practice address
1450 Washington Blvd # 103
Stamford Health Integrated Practices Inc.
Stamford, CT 06902-2451
Phone
(203) 348-2937
Fax
(203) 348-1968
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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 049041 CT Primary

Addresses

Primary practice location

1450 Washington Blvd # 103
Stamford Health Integrated Practices Inc.
Stamford, CT 06902-2451

Mailing address

4600 Main St
Bridgeport, CT 06606-1839
Phone (203) 371-4445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20110323000853 CT Practitioner - Family Practice 1052594322 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Vincents Urgent Care LLCGroup PAC ID 6901119767, 43 clinicians

Practice addresses (Care Compare)

677 Connecticut Ave
Norwalk, CT 06854-1645
Phone (475) 210-3350

7365 Main St
Suite 7
Stratford, CT 06614-1300
Phone (203) 696-3505

Merit-based Incentive Payment System (MIPS)

Final score
88.05 of 100Reported as group
Quality
83.45
Promoting interoperability
100
Improvement activities
40
Cost
76.72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincents Urgent Care LLC Family Medicine CurrentSince Mar 1, 2015 Accepting new patients
St. Vincents Urgent Care LLC Family Medicine CurrentSince Mar 1, 2015 Accepting new patients
Family Medicine Associates of Stamford, P.C. Family Medicine Past Accepting new patients
Advanced Spine and Pain Care, LLC Past Accepting new patients
Stamford Neurological Associates PC PastSince Jan 3, 2011 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: emoliere.williams@xdr.hhchealthdirect.org

Organizations & group practices 7

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1700041118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061839",
            "telephone_number": "203-371-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 WASHINGTON BLVD # 103",
            "address_2": "STAMFORD HEALTH INTEGRATED PRACTICES INC.",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022451",
            "telephone_number": "203-348-2937",
            "fax_number": "203-348-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EMOLIERE",
        "middle_name": "CHANEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "049041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.