Individual provider Active NPI

Larry Ross Williams, M.D.

  • Specialist
  • St Petersburg, FL
National Provider Identifier
1942264114
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0047125 Issued in FL
Practice address
995 16TH St N
St Petersburg, FL 33705-1210
Phone
(727) 894-4738
Fax
(727) 823-6710
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0047125 FL Primary

Addresses

Primary practice location

995 16TH St N
St Petersburg, FL 33705-1210

Mailing address

995 16TH St N
St Petersburg, FL 33705-1210
Phone (727) 894-4738

Other identifiers 1

IdentifierTypeStateIssuer
043000500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111123000107 FL Practitioner - Vascular SurgeryPractitioner - General Surgery 6406838994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.43 of 100Reported as group
Quality
66.74
Promoting interoperability
87
Improvement activities
40
Cost
68.85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Surgical Group, LLP CurrentSince Jan 1, 2016 Accepting new patients
Tampa Bay Surgical Group LLP Past Accepting new patients
Larry R. Williams, M.D., P.a. Specialist PastSince Jun 15, 1995 Accepting new patients

Locations

2039 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 584-7666

995 16th St N
St Petersburg, FL 33705
Phone (727) 822-3435

606 S Boulevard
Tampa, FL 33606
Phone (813) 254-3016

Interoperability endpoints

  • Direct secure messaging: larrywilliams@tbsg.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1942264114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051210",
            "telephone_number": "727-894-4738",
            "fax_number": "727-823-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051210",
            "telephone_number": "727-894-4738",
            "fax_number": "727-823-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LARRY",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0047125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043000500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.