NPIMap

Individual provider Active NPI

Mark A. Williams, M.D.

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1710179585
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34119 Issued in KY
Practice address
12010 Shelbyville Rd
Suite 300
Louisville, KY 40243-1054
Phone
(502) 244-9355
Fax
(502) 244-9577
NPI assigned
Aug 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34119 KY Primary

Addresses

Primary practice location

12010 Shelbyville Rd
Suite 300
Louisville, KY 40243-1054

Mailing address

PO Box 436256
Louisville, KY 40253-6256
Phone (502) 244-9355

Other identifiers 4

IdentifierTypeStateIssuer
000000334878OtherANTHEM PROVIDER ID
P00202037OtherKYRAILROAD MEDICARE ID
H10999OtherKYUPIN
5931697OtherAETNA PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040917000045 KY Practitioner - Internal Medicine 1850369976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

12010 Shelbyville Rd
Suite 500
Louisville, KY 40243-1086
Phone (502) 238-2800

Hospital & facility affiliations

  • Baptist Health Home Care Ky, LLC Dba Baptist Home Health Care Home health agency, Louisville, KY, CCN 187091
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34119KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Williams M.D., LLC Internal Medicine CurrentSince Dec 1, 2003 Accepting new patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Scott a. Young M.D., PSC Internal Medicine Current Accepting new patients
Community Medical Associates, Inc. Internal Medicine Past Accepting new patients
Norton Enterprises, Inc. Past Accepting new patients

Locations

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

12010 Shelbyville Rd
Ste 500
Louisville, KY 40243
Phone (502) 238-2800

12010 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 244-9355

Organizations & group practices 6

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1710179585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436256",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402536256",
            "telephone_number": "502-244-9355",
            "fax_number": "502-244-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 SHELBYVILLE RD",
            "address_2": "SUITE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431054",
            "telephone_number": "502-244-9355",
            "fax_number": "502-244-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "34119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "000000334878",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "P00202037",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H10999",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "5931697",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.