NPIMap

Individual provider Active NPI

Jessica Williams, MD

  • Pediatric Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1851447445
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
MD2007-0244 Issued in NM
Practice address
Msc10 5530
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone
(505) 272-0011
NPI assigned
Jan 26, 2007
Last updated
Jul 31, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X MD2007-0244 NM Primary

Addresses

Primary practice location

Msc10 5530
1 University of New Mexico
Albuquerque, NM 87131-0001

Mailing address

Msc10 5530
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071010000119 NM Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 2466548201 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5888
Phone (505) 332-5827

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.28 of 100Reported as group
Quality
90
Improvement activities
40
Cost
77.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2007-0244NMMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group, Inc. CurrentSince Jul 31, 2007 Accepting new patients
Advanced Imaging LLC CurrentSince Jan 2, 2019 Accepting new patients
Unm Medical Group Inc CurrentSince Jul 31, 2007 Accepting new patients
Radiology Associates of Albuquerque, PA CurrentSince Jan 2, 2019 Accepting new patients
University of New Mexico Past Accepting new patients
Advanced Imaging LLC Past Accepting new patients

Locations

2400 Unser Blvd SE
Ste 29200
Albuquerque, NM 87124

401 San Mateo Blvd SE
Albuquerque, NM 87108
Phone (505) 462-7333

4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800

4515 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 596-2200

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233

6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

609 Christopher Dr
Belen, NM 87002
Phone (505) 861-1771

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

4005 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 462-6000

4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

1202 Highway 60
Socorro, NM 87801
Phone (505) 835-1140

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Organizations & group practices 6

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 6

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1851447445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC10 5530",
            "address_2": "1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSC10 5530",
            "address_2": "1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NM",
            "license": "MD2007-0244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.