Individual provider Active NPI

Mark Daniel Williams, D.O.

  • Orthopaedic Surgery Physician
  • Rockingham, VA
National Provider Identifier
1821484163
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0102206634 Issued in VA
Practice address
2509 Pleasant Run Dr
Rockingham, VA 22801-8720
Phone
(540) 689-5500
Fax
(757) 431-7116
NPI assigned
Apr 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 04750 KY
Orthopaedic Surgery Physician 207X00000X 0102206634 VA Primary

Addresses

Primary practice location

2509 Pleasant Run Dr
Rockingham, VA 22801-8720

Mailing address

2509 Pleasant Run Dr
Rockingham, VA 22801-8720
Phone (540) 689-5500

Other identifiers 3

IdentifierTypeStateIssuer
1821484163MedicaidVA
7100688460MedicaidKY
300041818MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210811000741 VA Practitioner - Orthopedic Surgery 0941551634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians
H2 Rehabilitation Services of Virginia, LLCGroup PAC ID 1658280128, shared by 6 NPIs, 67 clinicians

Practice addresses (Care Compare)

2303 N Augusta St
Staunton, VA 24401-2597
Phone (540) 886-4510

2509 Pleasant Run Dr
Harrisonburg, VA 22801-8720
Phone (540) 689-5700

320 W Main St
Covington, VA 24426-1517
Phone (540) 962-6226

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement52
Knee replacement127

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Aug 30, 2021 Accepting new patients
RMH Medical Group LLC CurrentSince Aug 30, 2021 Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients

Locations

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

2509 Pleasant Run Dr
Rockingham, VA 22801
Phone (540) 689-4500

Interoperability endpoints

  • Direct secure messaging: mwill511@yourcarecommunity.org
  • Direct secure messaging: mwilliams576050@direct.sentara.net

Organizations & group practices 3

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1821484163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 PLEASANT RUN DR",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018720",
            "telephone_number": "540-689-5500",
            "fax_number": "757-431-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 PLEASANT RUN DR",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018720",
            "telephone_number": "540-689-5500",
            "fax_number": "757-431-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARK",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "04750",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0102206634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821484163",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100688460",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300041818",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, VA

Sources for this page

Verify at the official NPI Registry.