Individual provider Active NPI

Rabun Williams

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1780632398
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
522752 Issued in TX
Practice address
13601 Preston Rd
Suite 1000W
Dallas, TX 75240-4911
Phone
(972) 715-5000
NPI assigned
May 5, 2006
Last updated
Apr 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 522752 TX Primary

Addresses

Primary practice location

13601 Preston Rd
Suite 1000W
Dallas, TX 75240-4911

Mailing address

PO Box 650426
Dallas, TX 75265-0426
Phone (972) 715-5000

Other identifiers 6

IdentifierTypeStateIssuer
132820510MedicaidTX
132820515MedicaidTX
88886UOtherTXBCBS
P00957274OtherTXRAILROAD MEDICARE
132820513MedicaidTX
83654UOtherTXBCBSTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000664 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890788806 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encompass Anesthesia Partners LLCGroup PAC ID 3274031307, 4 clinicians
Encompass Pain Management LLCGroup PAC ID 2668966763, 2 clinicians

Practice addresses (Care Compare)

2201 W Lampasas St
Ennis, TX 75119-5644
Phone (972) 875-0900

514 S Bonham St
Suite C
Mexia, TX 76667-3664
Phone (214) 725-6966

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
41553TXMDGeneral Practice Dentistry
522752TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Pain Management LLC CurrentSince Nov 1, 2025 Accepting new patients
Anesthesia Partners of Dallas PLLC CurrentSince Jun 20, 2019 Accepting new patients
Encompass Anesthesia Partners LLC CurrentSince Aug 11, 2025 Accepting new patients
Dreamworks Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Memorial Hospital of Polk County PastSince Jan 1, 2002 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Memorial Medical Center of East Texas Past Accepting new patients

Locations

10228 E Northwest Hwy
Dallas, TX 75238
Phone (214) 308-5983

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

8200 Walnut Hill Ln
#D
Dallas, TX 75231
Phone (214) 345-5634

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

2201 W Lampasas St
Ste 114
Ennis, TX 75119

514 S Bonham St
Mexia, TX 76667
Phone (254) 562-9321

514 S Bonham St
Ste C
Mexia, TX 76667
Phone (214) 725-6966

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCJJDD/Endpoint/JCJJDD

Organizations & group practices 7

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 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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1780632398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650426",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650426",
            "telephone_number": "972-715-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 PRESTON RD",
            "address_2": "SUITE 1000W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404911",
            "telephone_number": "972-715-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RABUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "522752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132820510",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132820515",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88886U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00957274",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132820513",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "83654U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.