Individual provider Active NPI

Gerald F Williams, DO

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1982695987
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31867 Issued in MO
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

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
240384727MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100611000822 MO Practitioner - Internal Medicine 7315077674 Reassigns benefits to 1 organization

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
Medical Group of Kansas City LLCGroup PAC ID 8921091455, 11 clinicians

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

LicenseStateTypeSpecialty
05-36814KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of Kansas City, LLC Internal Medicine CurrentSince Jun 27, 2015 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.