YALE WILLIAMS DO
NPI 1689294431
Student in an Organized Health Care Education/Training Program in Blue Springs, MO

NPI Status: Active since April 22, 2020

Contact Information

201 NW RD MIZE ROAD
BLUE SPRINGS, MO
ZIP 64014
Phone: (248) 303-4654

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Student in an Organized Health Care Educ...
Accepts Insurance
PECOS Enrolled

About YALE WILLIAMS

This page provides the complete NPI Profile along with additional information for Yale Williams, a primary care provider established in Blue Springs, Missouri with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1689294431 assigned on April 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI: 1689294431
Provider Name: YALE WILLIAMS DO
Gender: Male
Entity Type: Individual
Location Address: 201 NW RD MIZE ROAD BLUE SPRINGS, MO 64014
Location Phone: (248) 303-4654
Mailing Address: 201 NW RD MIZE ROAD BLUE SPRINGS, MO 64014
Is Sole Proprietor?: No
Enumeration Date: 04-22-2020
Last Update Date: 04-22-2020
Code Navigator

A primary care provider (PCP) like Yale Williams sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Student in an Organized Health Care Education/Training Program
Taxonomy Code: 390200000X
Type: Student, Health Care
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Anthem Blue Cross and Blue Shield

Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Catastrophic Pathway (+ Incentives) - EPO
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO

Blue Cross and Blue Shield of Kansas City

Blue KC Catastrophic BlueSelect EPO - EPO
Blue KC Choice Bronze 2 with Spira Care BlueSelect EPO - EPO
Blue KC Choice Silver 1 with Spira Care BlueSelect EPO - EPO
Blue KC Community Silver Preferred-Care Blue EPO - EPO
Blue KC First Bronze Preferred-Care Blue EPO - EPO
Blue KC Standard Bronze BlueSelect EPO - EPO
Blue KC Standard Bronze Preferred-Care Blue EPO - EPO
Blue KC Standard Gold BlueSelect EPO - EPO
Blue KC Standard Gold Preferred-Care Blue EPO - EPO
Blue KC Standard Silver BlueSelect EPO - EPO
Blue KC Standard Silver Preferred-Care Blue EPO - EPO

Oscar Insurance Company

Bronze Classic 4700 - EPO
Bronze Classic Standard - EPO
Bronze Elite + PCP Saver - EPO
Bronze Elite + PCP Saver Plus - EPO
Bronze Simple Diabetes - EPO
Gold Classic Standard - EPO
Gold Simple - EPO
Silver Classic Standard - EPO
Silver Elite Saver Plus - EPO
Silver Simple Diabetes - EPO
Silver Simple PCP Saver - EPO
Silver Simple Women's Health with Menopause Benefits - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Yale Williams is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689294431, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 16 → 1 + 6

Pos 4

Unchanged

Pos 5

Doubled → 4

Pos 6

Unchanged

Pos 7

Doubled → 8

Pos 8

Unchanged

Pos 9

Doubled → 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 2 → 4 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 4 + 9 + 8 + 4 + 6 + 24 = 79

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1

This NPI is valid

The calculated check digit is 1, which matches the last digit of 1689294431.