NPIMap

Individual provider Active NPI

Cameron Vaughn Williams, DO

  • Internal Medicine Physician
  • Plymouth Meeting, PA
National Provider Identifier
1902395957
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS020683 Issued in PA
Practice address
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone
(610) 272-8221
Fax
(610) 272-5655
NPI assigned
May 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X OS020683 PA Primary

Addresses

Primary practice location

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324

Mailing address

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200729001231 PA Practitioner - Osteopathic Manipulative Medicine 5395096143 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Geriatric'S, Inc.Group PAC ID 4486551371, 102 clinicians
Suburban Geriatrics II PCGroup PAC ID 9537552419, 107 clinicians

Practice addresses (Care Compare)

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Jamison, PA, CCN 397791
  • Heartland Hospice (Philadelphia) Hospice, Bala Cynwyd, PA, CCN 391570
  • Humanitas Health Services Inc Hospice, Huntingdon Valley, PA, CCN 731505
  • Vitality Hospice and Palliative Care Hospice, Langhorne, PA, CCN 731506
  • Amedisys Hospice of Greater Philadelphia Hospice, Bensalem, PA, CCN 391597
  • Crossroads Hospice of Philadelphia Hospice, Plymouth Meeting, PA, CCN 391679
  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Roxborough Memorial Hospital Hospital, Philadelphia, PA, CCN 390304
  • Inglis House Nursing home, Philadelphia, PA, CCN 395134
  • Germantown Home Nursing home, Philadelphia, PA, CCN 395360
  • Suburban Woods Health & Reha Nursing home, Norristown, PA, CCN 395912
  • Ambler Extended Care Center Nursing home, Ambler, PA, CCN 395176
  • Complete Care at Harston Hall LLC Nursing home, Flourtown, PA, CCN 395791

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS020683PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Geriatrics II PC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Violet Valley Long Term Care PC CurrentSince Aug 18, 2025 Accepting new patients
Suburban Geriatrics, Inc. Internal Medicine CurrentSince Jul 23, 2020 Accepting new patients
Ambler Healthcare Group, LLC Past Accepting new patients
Germantown Home Past Accepting new patients
CH Operating, LLC Past Accepting new patients
Inglis House Past Accepting new patients
Bryn Mawr Healthcare Group, LLC Past Accepting new patients
1700 Pine Street Operations LLC Past Accepting new patients
Suburban Woods Health & Rehabilitation Center, LLC Past Accepting new patients
Einstein Medical Center Montgomery Past Accepting new patients

Locations

2751 DeKalb Pike
Norristown, PA 19401
Phone (610) 278-2700

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

6950 Germantown Ave
Philadelphia, PA 19119
Phone (215) 261-7117

2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Suburban Woods Health & Rehabilitation CenterNorristown, PA, CCN 395912 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2024
Nov 1, 2024
Complete Care at Harston Hall LLCFlourtown, PA, CCN 395791 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2021
May 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1525478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1902395957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 JOLLY RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622324",
            "fax_number": "610-272-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 JOLLY RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622324",
            "telephone_number": "610-272-8221",
            "fax_number": "610-272-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAMERON",
        "middle_name": "VAUGHN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-05",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS020683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.