Individual provider Active NPI

Robert Charles Williams, M.D.

  • Orthopaedic Surgery Physician
  • Morris, IL
National Provider Identifier
1740692839
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036.152386 Issued in IL
Practice address
1051 W US Route 6 Ste 100
Morris, IL 60450-3370
Phone
(815) 942-4875
NPI assigned
May 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X BP10050667 TX
Orthopaedic Surgery Physician 207X00000X MD467045 PA
Orthopaedic Surgery Physician 207X00000X 036.152386 IL Primary

Addresses

Primary practice location

1051 W US Route 6 Ste 100
Morris, IL 60450-3370

Mailing address

725 School St Ste a
Morris, IL 60450-1207
Phone (815) 941-9124

Other practice location 1

301 University Blvd
Galveston, TX 77555-0165
Phone (409) 747-5727

Other practice location 2

3737 Market St
Philadelphia, PA 19104-5545
Phone (615) 477-9437

Other identifiers 1

IdentifierTypeStateIssuer
583641OtherTXTEXAS MEDICAL BOARD PHYSICIAN IN TRAINING PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200804000208 IL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4688091960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Arkansas College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

1051 W US Route 6
Morris, IL 60450-4200
Phone (815) 942-4875

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)26
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.152386ILMDOrthopaedic Surgery Physician
MD467045PAMDOrthopaedic Surgery Physician
BP10050667TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital Current Accepting new patients
Morris Hospital CurrentSince May 3, 2021 Accepting new patients
Morris Hospital Current Accepting new patients
Morris Hospital CurrentSince May 3, 2021 Accepting new patients

Locations

389 E Main St
Braidwood, IL 60408
Phone (815) 458-2532

27240 W Saxony Dr
Ste 201
Channahon, IL 60410
Phone (815) 467-1518

1310 Houbolt Rd
Joliet, IL 60431
Phone (815) 741-4000

580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122

725 School St
Ste A
Morris, IL 60450

150 W High St
Morris, IL 60450
Phone (815) 942-2129

2200 DuPont Ave
Morris, IL 60450
Phone (815) 705-7828

1051 W US Route 6
Ste 400
Morris, IL 60450
Phone (815) 942-8301

1051 W US Route 6
Morris, IL 60450
Phone (815) 318-5666

1051 W US Route 6
Ste 100
Morris, IL 60450
Phone (815) 942-4875

1306 Gemini Cir
Ste 2
Ottawa, IL 61350
Phone (815) 431-9980

Interoperability endpoints

  • Direct secure messaging: robert.williams@direct-address.org

Organizations & group practices 4

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.

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": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1740692839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SCHOOL ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501207",
            "telephone_number": "815-941-9124",
            "fax_number": "815-941-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W US ROUTE 6 STE 100",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503370",
            "telephone_number": "815-942-4875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550165",
            "country_code": "US",
            "telephone_number": "409-747-5727",
            "fax_number": "409-747-5715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3737 Market St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191045545",
            "country_code": "US",
            "telephone_number": "615-477-9437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-23",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "BP10050667",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD467045",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036.152386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING PERMIT",
            "identifier": "583641",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.