Active NPI
Thomas A. Williams Jr., M.D.
- Clinical Cardiac Electrophysiology Physician
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 56987
- Practice address
- 1532 Lone Oak Rd Ste 415
Paducah, KY 42003-7943 - Phone
- (270) 442-0103
- Fax
- (270) 442-0109
- NPI assigned
- Sep 15, 2005
- Last updated
- Nov 5, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 235006-1 | NY | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 35503 | TN | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 56987 | KY | Primary |
Addresses
Primary practice location
1532 Lone Oak Rd Ste 415
Paducah, KY 42003-7943
Mailing address
2200 Jefferson Ave FL 5
Toledo, OH 43604-7102
Phone (419) 251-2032
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1511797 | Medicaid | TN | |
| 7100089870 | Medicaid | KY | |
| P00684692 | Other | TN | RR MEDICARE |
| 4203046 | Other | TN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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
- Cardiac Electrophysiology
- Education
- East Tennessee State University Quillen College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1532 Lone Oak Rd
Suite 415
Paducah, KY 42003-7943
Phone (270) 442-0103
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.31 of 100
- Quality
- 81.5
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 39 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235006-1 | NY | MD | Cardiovascular Disease Physician |
| 56987 | KY | MD | Clinical Cardiac Electrophysiology Physician |
| 35503 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Cardiovascular Disease | Current | Accepting new patients |
| Saint Thomas Cardiology Consultants, PC | Cardiovascular Disease | Past | Accepting new patients |
| Mercy Health Physicians Kentucky LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
1532 Lone Oak Rd
Ste 415
Paducah, KY 42003
Interoperability endpoints
- twilliams14671@direct.bsmhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Paducah, KY
- NPI 1700408093
Cardiovascular Disease
-
dba Mercy Health - Paducah Orthopedics
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1043088347
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922243690
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Nashville, TN
- NPI 1871607580
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1932194966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 JEFFERSON AVE FL 5",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436047102",
"telephone_number": "419-251-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 LONE OAK RD STE 415",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037943",
"telephone_number": "270-442-0103",
"fax_number": "270-442-0109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "THOMAS",
"middle_name": "A.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "235006-1",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TN",
"license": "35503",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "KY",
"license": "56987",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1511797",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100089870",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00684692",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4203046",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.