LYNELL WILLIAMS MD
NPI 1164662128
Anesthesiology - Critical Care Medicine in Oakland, CA

Q: What is Lynell Williams's NPI number?

The NPI number for Lynell Williams is 1164662128. It was assigned to this individual provider in the NPPES registry on March 3, 2009.

Q: What is Lynell Williams's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Q: When was this NPI record last updated?

The NPPES record for Lynell Williams was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 03, 2009PECOS EnrolledAccepts Medicare Assignment

350 HAWTHORNE AVE RM 2346, OAKLAND, CA 94609(510) 869-6883(510) 869-6888 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lynell Williams Md NPPES

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

LYNELL WILLIAMS MD (NPI 1164662128) is an individual critical care medicine provider in Oakland, California, licensed in California (982903) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1164662128

Entity TypeIndividualMale

Primary Taxonomy207LC0200X

Provider Legal NameLYNELL WILLIAMSCredential: MD

Location Address350 HAWTHORNE AVE RM 2346Oakland, CA 94609

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (510) 869-6883 · Fax (510) 869-6888

Phone(510) 869-6883

Fax(510) 869-6888

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMarch 3, 2009

Last NPPES UpdateNovember 8, 2019

✔ NPI 1164662128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LC0200X

License✔ Licensed in CA · 982903

Definition

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

350 HAWTHORNE AVE RM 2346, Oakland, CA 94609

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Secondary Practice Location 1

Location 12799 W Grand BlvdDetroit, MI 48202-2608 · Phone (313) 916-8234 · Fax (313) 916-9434

Other Identifiers 1

OtherA131010CA · State Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lynell Williams Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567696776

PECOS Enrollment IDI20141204000703

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

SHARON HSI JAN CHAN M.D.

Hospitalist