DR. DAETWAN WILLIAMS M.D.
NPI 1215160932
Anesthesiology in Palo Alto, CA
About Dr. Daetwan Williams M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAETWAN WILLIAMS M.D. (NPI 1215160932) is an individual anesthesiology provider in Palo Alto, California, licensed in California (A115394) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Daetwan Williams M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Daetwan Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1104067115 (California), NPI 1982845186 (California), NPI 1497996524 (California)
- 4,479 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Daetwan Williams's NPI number?
The NPI number for Daetwan Williams is 1215160932. It was assigned to this individual provider in the NPPES registry on August 27, 2009.
Where is Daetwan Williams located?
Daetwan Williams practices at 795 El Camino Real, Palo Alto, CA 94040. The listed phone number is (650) 853-2894.
What is Daetwan Williams's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Daetwan Williams enrolled in Medicare?
Yes. Daetwan Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Daetwan Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daetwan Williams reassigns Medicare benefits to Sutter Bay Medical Foundation (Palo Alto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daetwan Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Daetwan Williams was last updated on May 29, 2020. 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.