Individual provider Active NPI

Kirk Donald Williams, MD

  • Otolaryngology Physician
  • Charlotte Hall, MD
National Provider Identifier
1740375245
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D31183 Issued in MD
Practice address
37767 Market Dr Unit 2
Charlotte Hall, MD 20622-3198
Phone
(301) 373-7900
Fax
(301) 373-6900
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD479530 PA
Otolaryngology Physician 207Y00000X D31183 MD Primary

Addresses

Primary practice location

37767 Market Dr Unit 2
Charlotte Hall, MD 20622-3198

Mailing address

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

Other practice location 1

2760 Unicorn Ln NW
Washington, DC 20015-2234
Phone (202) 320-2182

Other practice location 2

10 Saint Patricks Dr
Waldorf, MD 20603-4572
Phone (301) 373-7900

Other identifiers 4

IdentifierTypeStateIssuer
0636601OtherCIGNA
K2670001OtherBLUECROSSBLUESHIELD
3790486OtherAETNA
664151OtherMAMSI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050208000629 DC Practitioner - Otolaryngology 4789635632 Reassigns benefits to 2 organizations
I20250514000036 MD Practitioner - Otolaryngology 4789635632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Howard University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group - Southern Maryland LLC 241 clinicians

Practice addresses (Care Compare)

24035 Three Notch Rd
Hollywood, MD 20636-4871

37767 Market Dr
Unit 2
Charlotte Hall, MD 20622-3198
Phone (301) 884-7330

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

950 E Swann Creek Rd
Fort Washington, MD 20744
Phone (301) 292-7270

Hospital & facility affiliations

  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D31183MDMDOtolaryngology Physician
MD479530PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Feb 6, 2019 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Jul 1, 2025 Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Feb 6, 2019 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Jul 1, 2025 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Jul 1, 2025 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Jul 1, 2025 Accepting new patients
Medstar Southern Maryland Physicians, LLC Past Accepting new patients
Howard University Past Accepting new patients

Locations

37767 Market Dr
Unit 2
Charlotte Hall, MD 20622
Phone (301) 884-0278

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870

10 Saint Patricks Dr
Fl 3
Waldorf, MD 20603
Phone (240) 448-2970

Interoperability endpoints

  • Direct secure messaging: kirk.williamsmd.d1.p2@direct.msmg.nextgenshare.com

Organizations & group practices 9

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 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1740375245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37767 MARKET DR UNIT 2",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223198",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2760 Unicorn Ln NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200152234",
            "country_code": "US",
            "telephone_number": "202-320-2182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Saint Patricks Dr",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034572",
            "country_code": "US",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIRK",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD479530",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D31183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0636601",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "K2670001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3790486",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "664151",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte Hall, MD

Sources for this page

Verify at the official NPI Registry.