Individual provider Active NPI

Renuka Sharon Williams, M.D

  • Family Medicine Physician
  • Tyler, TX
National Provider Identifier
1720374051
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q2869 Issued in TX
Practice address
800 E Dawson St
Tyler, TX 75701-2036
Phone
(903) 606-4129
NPI assigned
Jun 24, 2011
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1G0808OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, GA, IL, TN, MI, WV, OH8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20150116001113 TX Practitioner - Family Practice 0840514030 Reassigns benefits to 5 organizations
I20200914002061 OK Practitioner - Family Practice 0840514030 Reassigns benefits to 1 organization
I20211116001482 GA Practitioner - Family Practice 0840514030 Reassigns benefits to 1 organization
I20220210001165 IL Practitioner - Family Practice 0840514030 Reassigns benefits to 1 organization
I20220422000587 TN Practitioner - Family Practice 0840514030 Reassigns benefits to 1 organization
I20230630000302 MI Practitioner - Family Practice 0840514030 Reassigns benefits to 1 organization
I20230811001747 WV Practitioner - Family Practice 0840514030 Reassigns benefits to 1 organization
I20240124004128 OH Practitioner - Family Practice 0840514030 Reassigns benefits to 1 organization

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
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

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

LicenseStateTypeSpecialty
BP10040029TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Family Medicine CurrentSince Dec 10, 2023 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Family Medicine CurrentSince May 29, 2023 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Sep 17, 2020 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Family Medicine CurrentSince May 29, 2023 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Oct 1, 2020 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Aug 7, 2020 Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC Family Medicine CurrentSince Jun 28, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 17, 2020 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Family Medicine Current Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Jan 1, 2022 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.