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DR. DERRICK A WILLIAMS M.D.
NPI 1083815393
Internal Medicine in Fishers, IN

Active since May 31, 2007Opted out of Medicare · through Jul 1, 2028
13914 SOUTHEASTERN PARKWAY, SUITE 210, FISHERS, IN 46037(317) 419-9900(317) 415-9910 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Nov 11, 2022, Apr 7, 2021 (2 updates tracked since 2021).

About Dr. Derrick A Williams M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DERRICK A WILLIAMS M.D. (NPI 1083815393) is an individual internal medicine provider in Fishers, Indiana, licensed in Indiana (01063841A) and active in the NPI registry since May 2007. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083815393
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DERRICK A WILLIAMSCredential: M.D.
Location Address13914 SOUTHEASTERN PARKWAY, SUITE 210Fishers, IN 46037
Mailing Address13914 Southeastern PkwyFishers, IN 46037-7127 · (317) 415-9900 · Fax (317) 415-9910
Phone(317) 419-9900
Fax(317) 415-9910
Sole ProprietorNo
Enumeration DateMay 31, 2007
Last NPPES UpdateNovember 11, 20222 updates tracked since enumeration
NPPES CertifiedNovember 11, 2022
✔ NPI 1083815393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01063841A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13914 SOUTHEASTERN PARKWAY, Fishers, IN 46037
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Derrick A Williams M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2020 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2020
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$16.10 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers13 claims13 services$15.27 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims90 services$2.06 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier25 claims25 services$28.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY SEIDNER DO
Obstetrics & Gynecology
13914 SOUTHEASTERN PARKWAY, STE 203
FISHERS, IN 46037
Hamilton County (317) 415-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Williams's NPI number?

The NPI number for Derrick Williams is 1083815393. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Derrick Williams located?

Derrick Williams practices at 13914 Southeastern Parkway Suite 210, Fishers, IN 46037. The listed phone number is (317) 419-9900.

What is Derrick Williams's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Derrick Williams enrolled in Medicare?

No. Derrick Williams has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Derrick Williams was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.