Individual provider Active NPI

Ni A Williams, DPM

  • Primary Podiatric Medicine Podiatrist
  • Northbrook, IL
National Provider Identifier
1861673576
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
1918 Issued in TX
Practice address
425 Huehl Rd # 13
Northbrook, IL 60062-2319
Phone
(847) 504-5000
Fax
(847) 504-5015
NPI assigned
Nov 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 1918 TX Primary
Podiatrist 213E00000X 1918 TX

Addresses

Primary practice location

425 Huehl Rd # 13
Northbrook, IL 60062-2319

Mailing address

425 Huehl Rd # 13
Northbrook, IL 60062-2319
Phone (847) 504-5000

Other identifiers 3

IdentifierTypeStateIssuer
281334701MedicaidTX
281334702MedicaidTX
281334703MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000735 TX Practitioner - Podiatry 1658458047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

384 Harmony HLS
Spring Branch, TX 78070-2107
Phone (830) 438-1276

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue5282
Removal or shaving of skin growth1880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1918TXMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC Podiatrist CurrentSince Jan 24, 2011 Accepting new patients
Preferred Podiatry Group PC Podiatrist CurrentSince Jan 24, 2011 Accepting new patients
Briant G. Moyles D.P.M., P.a. Podiatrist PastSince Feb 26, 2023 Accepting new patients
Preferred Podiatry Group PC Podiatrist Past Accepting new patients

Locations

425 Huehl Rd
#13
Northbrook, IL 60062
Phone (847) 504-5007

3706 Adelphi Ln
Austin, TX 78727
Phone (512) 833-9253

2003 W Hutchins Pl
San Antonio, TX 78224
Phone (210) 927-0800

384 Harmony Hls
Spring Branch, TX 78070
Phone (830) 438-1276

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1861673576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HUEHL RD # 13",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622319",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HUEHL RD # 13",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622319",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1918",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1918",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281334701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281334702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281334703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.