NPIMap

Individual provider Active NPI

Jason R Williams, D.O.

  • Family Medicine Physician
  • El Dorado, KS
National Provider Identifier
1760420012
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-27831 Issued in KS
Practice address
700 W Central Ave
Suite 206
El Dorado, KS 67042-2184
Phone
(316) 320-3100
Fax
(316) 321-2188
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-27831 KS Primary

Addresses

Primary practice location

700 W Central Ave
Suite 206
El Dorado, KS 67042-2184

Mailing address

PO Box 48514
Wichita, KS 67201-8514
Phone (913) 248-9693

Other identifiers 1

IdentifierTypeStateIssuer
7671123OtherKSAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620000415 KS Practitioner - Family PracticePractitioner - Emergency Medicine 7911941075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Healthcare CorporationGroup PAC ID 5294646477, 56 clinicians

Practice addresses (Care Compare)

641 N Seneca St
NMC Health Family Medicine Valley Center
Valley Center, KS 67147-8208
Phone (316) 755-1511

Hospital & facility affiliations

  • Phoenix Home Care Home health agency, Wichita, KS, CCN 178012
  • Specialized Home Care Home health agency, Wichita, KS, CCN 178111
  • NMC Health Home Care Home health agency, Newton, KS, CCN 177059
  • NMC Health Hospital, Newton, KS, CCN 170103

Merit-based Incentive Payment System (MIPS)

Final score
78.73 of 100Reported as group
Quality
54.57
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions26
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-27831KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Healthcare Corporation CurrentSince May 1, 2022 Accepting new patients
Newman Memorial County Hospital Current Accepting new patients
Newton Healthcare Corporation Family Medicine CurrentSince May 1, 2022 Accepting new patients
Runway Emergency Physicians LLC Past Accepting new patients
Emergency Services of Kansas, P.a. Family Medicine Past Accepting new patients
Emergency Services, PA Past Accepting new patients
Butler County Family Medicine, PA Family Medicine Past Accepting new patients
Mercy Kansas Communities Inc Past Accepting new patients
Emergency Services of Kansas, PA Family Medicine Past Accepting new patients

Locations

720 W Central Ave
El Dorado, KS 67042
Phone (316) 321-3000

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

641 N Seneca St
Valley Center, KS 67147
Phone (316) 755-1511

Interoperability endpoints

  • Direct secure messaging: jason.r.williams@khindirect.org

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 4

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1760420012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48514",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672018514",
            "telephone_number": "913-248-9693",
            "fax_number": "913-248-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE",
            "address_2": "SUITE 206",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422184",
            "telephone_number": "316-320-3100",
            "fax_number": "316-321-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASON",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-27831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7671123",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, KS

Sources for this page

Verify at the official NPI Registry.