Active NPI
Renuka Sharon Williams, M.D
- Family Medicine Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q2869
- Practice address
- 800 E Dawson St
Tyler, TX 75701-2036 - Phone
- (903) 606-4129
- NPI assigned
- Jun 24, 2011
- Last updated
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD61253482 | WA | |
| Family Medicine Physician | 207Q00000X | BP10040029 | TX | |
| Family Medicine Physician | 207Q00000X | Q2869 | TX | Primary |
Addresses
Primary practice location
800 E Dawson St
Tyler, TX 75701-2036
Mailing address
4000 Weeks Park LN Apt 244
Wichita Falls, TX 76308-3261
Phone (214) 585-9552
Other practice location 1
1301 Third Street Suite 200
Wichita Falls Family Medicine Residency
Wichita Falls, TX 76301-2245
Phone (940) 767-8334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1G0808 | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK, GA, IL, TN, MI, WV, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1404 N Garland Rd
Garland Road Nursing and Rehabilitati
Enid, OK 73703-2875
Phone (580) 234-2526
724 W Rendon Crowley Rd
Crowley, TX 76036-5330
Phone (817) 297-4141
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10040029 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Family Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians-Michigan, PLLC | Family Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians - Michigan, PLLC | Family Medicine | Current | Accepting new patients |
| Lonestar Hospital Medicine Associates, PA | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Family Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Family Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of West Virginia, PLLC | Family Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Sound Inpatient Physicians of Texas I, Inc | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Family Medicine | Current | Accepting new patients |
| Memorial Health System of East Texas | Past | Accepting new patients |
Locations (25 of 77)
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
1160 Alpharetta St
Ste 400
Roswell, GA 30075
Phone (706) 664-9272
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
1111 N Plum St
Ste 4
Springfield, OH 45504
Phone (937) 328-5113
1404 N Garland Rd
Enid, OK 73703
Phone (580) 234-2526
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
601 E 15th St
Austin, TX 78701
Phone (512) 324-7868
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
1480 Cornerstone Ct
Beaumont, TX 77706
Phone (409) 722-0515
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
1502 10th St
Ste B
Bridgeport, TX 76426
Phone (940) 683-6370
4054 NW Loop
Carthage, TX 75633
Phone (903) 693-8504
1280 Settlers Rdg
Celina, TX 75009
Phone (972) 382-8600
202 Tenaha St
Center, TX 75935
Phone (936) 590-9303
246 Haley Dr
Center, TX 75935
Phone (936) 598-6286
903 E Houston St
Cleveland, TX 77327
Phone (281) 354-0029
2019 N Frazier St
Conroe, TX 77301
Phone (936) 441-2120
600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511
6200 Saratoga Blvd
Ste 104
Corpus Christi, TX 78414
Phone (361) 356-4252
3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800
724 W Rendon Crowley Rd
Crowley, TX 76036
Phone (817) 297-4141
Interoperability endpoints
- rwilliams104737@christushealth.direct-ci.net
Organizations & group practices 14
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.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Family Medicine, OK
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Family Medicine
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
-
- Family Medicine Physician
- Sugar Land, TX
- NPI 1831424563
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
Family Medicine
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
Family Medicine
-
- Internal Medicine Physician
- Wheeling, WV
- NPI 1649575101
Family Medicine
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
Family Medicine
-
- Internal Medicine Physician
- Dyersburg, TN
- NPI 1952654246
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI St. Lukes Health Memorial Lufkin
- Rural Acute Care Hospital
- Lufkin, TX
- NPI 1396746129
-
dba CHI St Luke's Health Memorial Lufkin
- Rehabilitation Hospital Unit
- Lufkin, TX
- NPI 1457454431
Inpatient rehabilitation facility
-
dba CHI St. Luke's Heath Memorial Livingston
- Rural Acute Care Hospital
- Livingston, TX
- NPI 1689650616
-
dba CHI St. Luke's Health Memorial San Augustine
- Rural Acute Care Hospital
- San Augustine, TX
- NPI 1578547345
-
dba Sabine County Hospital
- Critical Access Hospital
- Hemphill, TX
- NPI 1932379856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1720374051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 WEEKS PARK LN APT 244",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763083261",
"telephone_number": "214-585-9552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E DAWSON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757012036",
"telephone_number": "903-606-4129"
}
],
"practiceLocations": [
{
"address_1": "1301 Third Street Suite 200",
"address_2": "Wichita Falls Family Medicine Residency",
"address_purpose": "LOCATION",
"city": "Wichita Falls",
"state": "TX",
"postal_code": "763012245",
"country_code": "US",
"telephone_number": "940-767-8334",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RENUKA",
"middle_name": "SHARON",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-24",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61253482",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BP10040029",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q2869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1G0808",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.