Individual provider Active NPI

Justin Kyle Williams, MD

  • Plastic and Reconstructive Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1700249042
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
83553 Issued in GA
Practice address
580 S Aiken Ave Ste 530
Pittsburgh, PA 15232-1531
Phone
(412) 687-2100
Fax
(412) 687-5883
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 83553 GA Primary

Addresses

Primary practice location

580 S Aiken Ave Ste 530
Pittsburgh, PA 15232-1531

Mailing address

580 S Aiken Ave Ste 530
Pittsburgh, PA 15232-1531
Phone (412) 687-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220720000452 PA Practitioner - Plastic and Reconstructive Surgery 2365850146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Drexel University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

580 S Aiken Ave
Suite 530
Pittsburgh, PA 15232-1531
Phone (412) 687-2100

Hospital & facility affiliations

  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leo R McCafferty MD Facs & Associates Plastic Surgery, PC CurrentSince Jul 1, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

580 S Aiken Ave
Ste 530
Pittsburgh, PA 15232
Phone (412) 687-2100

Interoperability endpoints

  • Direct secure messaging: jwilliams740481@direct.ahn.org

Organizations & group practices 3

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 4

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1700249042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 S AIKEN AVE STE 530",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321531",
            "telephone_number": "412-687-2100",
            "fax_number": "412-687-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S AIKEN AVE STE 530",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321531",
            "telephone_number": "412-687-2100",
            "fax_number": "412-687-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JUSTIN",
        "middle_name": "KYLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "83553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.