Active NPI
Martin J Williams, MD
- Surgery Physician
- Dorchester Center, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 52959
- Practice address
- 2100 Dorchester Ave
Dorchester Center, MA 02124-5615 - Phone
- (617) 364-4380
- Fax
- (617) 298-2517
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 52959 | MA | |
| Surgery Physician | 208600000X | 52959 | MA | Primary |
Addresses
Primary practice location
2100 Dorchester Ave
Dorchester Center, MA 02124-5615
Mailing address
2100 Dorchester Ave
Dorchester Center, MA 02124-5615
Phone (617) 364-4380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6188958 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Harvard Medical School, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Physicians Associates Inc
Practice addresses (Care Compare)
100 Highland St
Suite 123
Milton, MA 02186-3881
199 Reedsdale Rd
Milton, MA 02186-3926
Phone (617) 696-4600
Hospital & facility affiliations
- Beth Israel Deaconess Hospital - Needham
- Beth Israel Deaconess Hospital - Milton
- Beth Israel Deaconess Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 225 |
| Removal of skin lesions | 15 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52959 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Community Physicians Associates, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Community Physicians Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Steward Carney Hospital, Inc. | Past | Accepting new patients | |
| Carney Medical Group | Past | Accepting new patients | |
| Steward Medical Group Inc. | Past | Accepting new patients |
Locations
11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782
77 Warren St
Fl 5
Brighton, MA 02135
Phone (617) 254-3376
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
100 Highland St
Ste 123
Milton, MA 02186
Phone (617) 696-3411
1093 N Main St
Randolph, MA 02368
Phone (781) 963-0676
150 York St
Stoughton, MA 02072
Phone (781) 297-1101
40 Spring St
Watertown, MA 02472
Phone (617) 923-8433
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.
-
- Orthopaedic Surgery Physician
- Milton, MA
- NPI 1477832780
-
- Family Medicine Physician
- Milton, MA
- NPI 1538154869
Internal Medicine
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Specialist
- Brighton, MA
- NPI 1326142704
-
- Durable Medical Equipment & Medical Supplies
- Dorchester Center, MA
- NPI 1073826756
-
- Cardiac Rehabilitation Clinic/Center
- Brighton, MA
- NPI 1760086599
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milton, MA
- NPI 1174618953
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1851386429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 DORCHESTER AVE",
"city": "DORCHESTER CENTER",
"state": "MA",
"postal_code": "021245615",
"telephone_number": "617-364-4380",
"fax_number": "617-298-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 DORCHESTER AVE",
"city": "DORCHESTER CENTER",
"state": "MA",
"postal_code": "021245615",
"telephone_number": "617-364-4380",
"fax_number": "617-298-2517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARTIN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "52959",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "52959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6188958",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester Center, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.