Individual provider Active NPI

Michael Langham Williams, M.D.

  • Emergency Medicine Physician
  • Avon, IN
National Provider Identifier
1811375835
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01099277A Issued in IN
Practice address
1111 N Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone
(317) 217-3000
NPI assigned
May 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD61329987 WA
Emergency Medicine Physician 207P00000X 01099277A IN Primary
Emergency Medicine Physician 207P00000X C2437 KY
Emergency Medicine Physician 207P00000X BP10053763 TX

Addresses

Primary practice location

1111 N Ronald Reagan Pkwy
Avon, IN 46123-7085

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

2401 S 31st St
Ms-11-Ag062
Temple, TX 76508-0001
Phone (409) 454-6800

Other practice location 2

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 683-8000

Other identifiers 1

IdentifierTypeStateIssuer
300088583MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwilliams@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MO, WA, LA, TX, IN6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20180731001726 AL Practitioner - Emergency Medicine 5799066007 Reassigns benefits to 1 organization
I20211109002036 MO Practitioner - Emergency Medicine 5799066007 Reassigns benefits to 1 organization
I20220906002672 WA Practitioner - Emergency Medicine 5799066007 Reassigns benefits to 1 organization
I20240125003553 LA Practitioner - Emergency Medicine 5799066007 Reassigns benefits to 1 organization
I20250421002687 TX Practitioner - Emergency Medicine 5799066007 Reassigns benefits to 2 organizations
I20260624002679 IN Practitioner - Emergency Medicine 5799066007

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at Houston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon ClinicGroup PAC ID 0840103727, shared by 3 NPIs, 550 clinicians

Practice addresses (Care Compare)

120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741

Hospital & facility affiliations

  • Ascension Providence Hospital, Waco, TX, CCN 450042
  • Shannon Medical Center Hospital, San Angelo, TX, CCN 450571
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61329987WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Springfield CurrentSince Oct 12, 2021 Accepting new patients
Mercy Hospital Springfield CurrentSince Oct 12, 2021 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Aug 5, 2018 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Apr 16, 2025 Accepting new patients
Highland Emergency Group, LLC Emergency Medicine CurrentSince Dec 16, 2023 Accepting new patients
Sound Physicians Emergency Medicine of Washington PLLC Emergency Medicine CurrentSince Oct 4, 2022 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Apr 16, 2025 Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: mwilliams640268@direct.multicare.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1811375835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N RONALD REAGAN PKWY",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237085",
            "telephone_number": "317-217-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St",
            "address_2": "MS-11-AG062",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "409-454-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021831",
            "country_code": "US",
            "telephone_number": "502-683-8000",
            "fax_number": "502-629-6129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "LANGHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD61329987",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01099277A",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "C2437",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "BP10053763",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300088583",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwilliams@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1111 N Ronald Reagan Pkwy",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461237085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.