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MR. CLARENCE WILLIAMS JR.
NPI 1649792847
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since July 10, 2017PECOS Enrolled
705 RILEY HOSPITAL DR RM 5837, INDIANAPOLIS, IN 46202(317) 948-0003 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2023, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Mr. Clarence Williams Jr. NPPES

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

MR. CLARENCE WILLIAMS JR. (NPI 1649792847) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649792847
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. CLARENCE WILLIAMS JR.
Location Address705 RILEY HOSPITAL DR RM 5837Indianapolis, IN 46202
Mailing Address705 Riley Hospital Dr Rm 5837Indianapolis, IN 46202-5109 · (317) 948-0003
Phone(317) 948-0003
Sole ProprietorNo
Enumeration DateJuly 10, 2017
Last NPPES UpdateApril 4, 20235 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
✔ NPI 1649792847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
705 RILEY HOSPITAL DR RM 5837, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Clarence Williams Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

EMILY KATHERINE LAWSON
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
MEERA FARZANA IYENGAR
Internal Medicine (Gastroenterology)
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-9899
HEATHER JANELLE ANDRADE MD
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
ANTONIA BARTLETT
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
HILARY BROOKE KLEPPEL
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
DR. JEREMY FRANCISCO GARCIA MD
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
DR. JENNY KYEONGMIN KIM MD
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
DYLAN FREDRICK KLINGLER MD
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003

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 Clarence Williams's NPI number?

The NPI number for Clarence Williams is 1649792847. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Clarence Williams located?

Clarence Williams practices at 705 Riley Hospital Dr Rm 5837, Indianapolis, IN 46202. The listed phone number is (317) 948-0003.

What is Clarence Williams's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Clarence Williams enrolled in Medicare?

Yes. Clarence Williams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clarence Williams was last updated on April 4, 2023. 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.