Active NPI
Gerald F Williams, DO
- Internal Medicine Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31867
- Practice address
- 6420 Prospect Ave
Suite T101
Kansas City, MO 64132-4147 - Phone
- (816) 363-4100
- Fax
- (816) 363-8201
- NPI assigned
- Oct 31, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31867 | MO | Primary |
| Internal Medicine Physician | 207R00000X | 05-36814 | KS |
Addresses
Primary practice location
6420 Prospect Ave
Suite T101
Kansas City, MO 64132-4147
Mailing address
6420 Prospect Ave
Suite T101
Kansas City, MO 64132-4147
Phone (816) 363-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240384727 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | GERALD.WILLIAMS@hca2.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2330 E Meyer Blvd
Suite 101
Kansas City, MO 64132-1140
Phone (816) 276-9800
2820 E Rock Haven Rd
Harrisonville, MO 64701-4414
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-36814 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Group of Kansas City, LLC | Internal Medicine | Current | Accepting new patients |
Locations
2820 E Rock Haven Rd
Ste 205
Harrisonville, MO 64701
Phone (816) 363-7710
6675 Holmes Rd
Ste 550
Kansas City, MO 64131
Phone (816) 363-7710
2330 E Meyer Blvd
Ste 101
Kansas City, MO 64132
Phone (816) 276-9800
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- gerald.williams@hca2.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1407803273
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1134187842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1982695987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 PROSPECT AVE",
"address_2": "SUITE T101",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641324147",
"telephone_number": "816-363-4100",
"fax_number": "816-363-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 PROSPECT AVE",
"address_2": "SUITE T101",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641324147",
"telephone_number": "816-363-4100",
"fax_number": "816-363-8201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "GERALD",
"middle_name": "F",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "31867",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "05-36814",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240384727",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "GERALD.WILLIAMS@hca2.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "6420 Prospect Ave",
"address_2": "SUITE T101",
"city": "Kansas City",
"state": "MO",
"country_code": "US",
"postal_code": "641324147",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.