KIYANNA MARIE WILLIAMS (MD) – Dermatology Physician, NPI 1487008751
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for KIYANNA MARIE WILLIAMS (MD)
42600 Mirage Rd
Rancho Mirage, CA 922704127
Phone: (760) 423-4000
Type: Location
3035, Sunnywood Drive, Ann Arbor, Washtenaw County, Michigan, 48103, United States
ANN ARBOR, MI 481032055
Phone: (413) 426-2588
Type: Mailing
East 100th Street, Buckeye, Cleveland, Cuyahoga County, Ohio, 44104, United States
CLEVELAND, OH 441951014
Phone: (413) 426-2588
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
4020 NEW VISION DR
FORT WAYNE, IN 468451737
Phone: (260) 423-2567
Fax: (260) 420-2415
Type: Location
2049 E 100TH ST
CLEVELAND, OH 441062104
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $630.
Total Amount is formed as General ($630) + Research ($0) + Ownership ($0) = $630.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: ABBVIE INC. ($373).
Total Amount
$630
General + Research + Ownership
Payments
10
Total payment records
General Amount
$630
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201007001772 | I | Dermatology | OH | TBD |
| I20240313001883 | I | Micrographic Dermatologic Surgery (Mds) | VA | TBD |
| I20240319002157 | I | Dermatology | NJ | TBD |
| I20240409004674 | I | Dermatology | IN | TBD |
| I20250819000176 | I | Dermatology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 138 | 122 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 67 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 56 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 44 | 44 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 38 | 37 | $0 |
Insurance plans in this area (ZIP 92270)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds), Dermatology | OH | |
| D E R M A T O L O G Y | PA | |
| Dermatology, Micrographic Dermatologic Surgery (Mds), Dermatology | NC | |
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.