Individual provider Active NPI

Lauren Elyce Williams, MD

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1912436551
Registry record updated Jun 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
125070694 Issued in IL
Practice address
1650 W Harrison St
Chicago, IL 60612-3800
Phone
(312) 942-5495
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125070694 IL Primary

Addresses

Primary practice location

1650 W Harrison St
Chicago, IL 60612-3800

Mailing address

1524 S Sangamon St Unit 515
Chicago, IL 60608-2268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20220810002080 IL Practitioner - General Surgery 6800167305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rush Medical College of Rush University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfield Memorial Hospital AssociationGroup PAC ID 5698671741, shared by 4 NPIs, 32 clinicians

Practice addresses (Care Compare)

303 NW 11TH St
Fairfield, IL 62837-1203
Phone (618) 847-8346

Hospital & facility affiliations

  • Fairfield Memorial Hospital 1 Hospital, Fairfield, IL, CCN 141311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy177
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux113
Melanoma (skin cancer) excision14
Removal of tissue1-10
Removal of skin lesions13
Removal or shaving of skin growth11
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Memorial Hospital Association CurrentSince Jul 26, 2022 Accepting new patients
Fairfield Memorial Hospital Association CurrentSince Jul 26, 2022 Accepting new patients
Fairfield Memorial Hospital Association Current Accepting new patients

Locations

303 NW 11th St
Fairfield, IL 62837
Phone (618) 842-2611

213 NW 10th St
Ste A
Fairfield, IL 62837
Phone (618) 842-4617

Interoperability endpoints

  • Direct secure messaging: lewilliams@yourcarecommunity.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/11356/brand/1/csg/161/fhir/r4
  • Direct secure messaging: lwilliams@direct.horizonhealthcare.nextgenshare.com

Organizations & group practices 3

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 1

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1912436551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 S SANGAMON ST UNIT 515",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123800",
            "telephone_number": "312-942-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAUREN",
        "middle_name": "ELYCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125070694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.