NPIMap

Individual provider Active NPI

Mark H Williams, MD

  • Family Medicine Physician
  • Lafayette, IN
National Provider Identifier
1700859873
Registry record updated Mar 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01047376A Issued in IN
Practice address
2525 South St
Lafayette, IN 47904-3028
Phone
(765) 807-2320
Fax
(765) 807-2330
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 01047376A IN
Family Medicine Physician 207Q00000X 01047376A IN Primary

Addresses

Primary practice location

2525 South St
Lafayette, IN 47904-3028

Mailing address

PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732

Other practice location 1

1630 Lafayette Rd
Suite 200
Crawfordsville, IN 47933-1090
Phone (765) 359-2230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071126000204 IN Practitioner - Family Practice 9133217318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2525 S St
Suite a
Lafayette, IN 47904-3028
Phone (765) 807-2320

Hospital & facility affiliations

  • Franciscan Home Care Home health agency, Lafayette, IN, CCN 157124
  • Elara Caring Home health agency, Kokomo, IN, CCN 157586
  • Franciscan Health Crawfordsville Hospital, Crawfordsville, IN, CCN 150022
  • Franciscan Health Lafayette Hospital, Lafayette, IN, CCN 150109
  • Indiana University Health Arnett Hospital Hospital, Lafayette, IN, CCN 150173
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01047376AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Personalized Care LLC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Athens Medical Group LLC Family Medicine PastSince May 26, 2009 Accepting new patients
Athens Medical Group, Inc Family Medicine Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2525 South St
Ste A
Lafayette, IN 47904
Phone (765) 807-2320

2525 South St
Lafayette, IN 47904
Phone (765) 807-2320

Interoperability endpoints

  • Direct secure messaging: mark.williams.1@32767.direct.athenahealth.com

Organizations & group practices 4

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 8

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1700859873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034699",
            "telephone_number": "765-449-2732",
            "fax_number": "765-449-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SOUTH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043028",
            "telephone_number": "765-807-2320",
            "fax_number": "765-807-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Lafayette Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Crawfordsville",
            "state": "IN",
            "postal_code": "479331090",
            "country_code": "US",
            "telephone_number": "765-359-2230",
            "fax_number": "765-359-2236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01047376A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01047376A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.