Kenneth Williams, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

1195 Issued in TX

Practice address

1954 E Houston St
RM 202
San Antonio, TX 78202-2953

Phone

(210) 225-5804

Fax

(210) 225-1046

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Spohn Hospital Beeville Hospital, Beeville, TX, CCN 450082

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• The Podiatry Group of South Texas, P.a.

  • Durable Medical Equipment & Medical Supplies
  • New Braunfels, TX
  • NPI 1972951598
  NPD (past)

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

• Christus Spohn Health System Corporation

  • General Acute Care Hospital
  • Beeville, TX
  • NPI 1447228747
  Care Compare affiliation

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1740285329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 E HOUSTON ST",
            "address_2": "RM 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782022953",
            "telephone_number": "210-225-5804",
            "fax_number": "210-225-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 E HOUSTON ST",
            "address_2": "RM 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782022953",
            "telephone_number": "210-225-5804",
            "fax_number": "210-225-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENNETH",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018768401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keisha Ledonya Williams, LVN
• Keith M Williams, OD
• Kellie Nicole Williams, M.D.
• Kelly Williams, BSN, RN
• Kelsey Ann Williams
• Kevan Jay Williams, RCP
• Kierra Williams, OT
• Kimberly Williams, MSN APRN PMHNP-BC
• Lacey Williams, FNP-BC
• Laura Louise Williams

• Primary Podiatric Medicine Podiatrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Primary Podiatric Medicine Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.

Verify at the official NPI Registry.