Individual provider Active NPI

Brian J Williams, M.D.

  • MOHS-Micrographic Surgery Physician
  • Greenwood, IN
National Provider Identifier
1841300506
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
01043111A Issued in IN
Practice address
875 Airport Pkwy
Greenwood, IN 46143-1085
Phone
(317) 926-3739
Fax
(317) 921-7478
NPI assigned
Aug 30, 2006
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 01043111A IN Primary

Addresses

Primary practice location

875 Airport Pkwy
Greenwood, IN 46143-1085

Mailing address

875 Airport Pkwy
Greenwood, IN 46143-1085
Phone (317) 926-3739

Other identifiers 1

IdentifierTypeStateIssuer
200002540AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20101215000666 IN Practitioner - Dermatology 4880881952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Indiana University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Inc.Group PAC ID 4587604962, 20 clinicians

Practice addresses (Care Compare)

875 Airport Pkwy
Greenwood, IN 46143-1085
Phone (317) 926-3739

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision47
Removal of skin lesions20
Removal of skin cancer356
Skin biopsy28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31690KYMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Inc CurrentSince Jul 1, 1996 Accepting new patients
Dermatology Inc Mohs-Micrographic Surgery CurrentSince Jul 1, 1996 Accepting new patients
University Dermatology, Inc. PastSince Jan 1, 2007 Accepting new patients
Major Hospital Past Accepting new patients

Locations

11900 Pennsylvania St
Ste 202
Carmel, IN 46032
Phone (317) 569-5767

725 Lakefront Ct
Carmel, IN 46032
Phone (317) 426-3739

533 E County Line Rd
Ste 203
Greenwood, IN 46143

875 Airport Pkwy
Greenwood, IN 46143
Phone 31792637395155

1801 Senate Blvd
Ste 745
Indianapolis, IN 46202
Phone (317) 962-5600

3755 E 82nd St
Ste 75
Indianapolis, IN 46240

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1841300506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 AIRPORT PKWY",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431085",
            "telephone_number": "317-926-3739",
            "fax_number": "317-921-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 AIRPORT PKWY",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431085",
            "telephone_number": "317-926-3739",
            "fax_number": "317-921-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IN",
            "license": "01043111A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002540A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.