SCOTT SHIELDS WILLIAMS (MD) – Nephrology Physician, NPI 1407816341
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
797 NEPHROLOGY in FL
Provider Addresses for SCOTT SHIELDS WILLIAMS (MD)
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 322163623
Phone: (904) 450-6063
Fax: (904) 539-4091
Type: Mailing
5153 N 9TH AVE STE 4B
PENSACOLA, FL 325048785
Phone: (850) 416-2280
Fax: (850) 416-2258
Type: Location
North 91st Avenue, Glendale, Maricopa County, Arizona, 85305, United States
GLENDALE, AZ 853052569
Phone: (602) 759-6883
Fax: (602) 224-3358
Type: Mailing
Patti Flint MD PC, 1520, South Dobson Road, Tempe, Maricopa County, Arizona, 85202, United States
SUITE 304
MESA, AZ 85202
Phone: (480) 899-0767
Fax: (480) 899-1145
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $146.
Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.
Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Alnylam Pharmaceuticals Inc. ($47).
Total Amount
$146
General + Research + Ownership
Payments
7
Total payment records
General Amount
$146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-19
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: 2023-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160801000438 | I | Nephrology | AZ | TBD |
| I20231120001137 | I | Pediatric Medicine | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| - | AZ | |
| - | AZ | |
| A N E S T H E S I O L O G Y | AZ | |
| - | AZ | |
| - | IL | |
| - | CA | |
| - | AZ | |
| Emergency Medicine, Pediatric Medicine | AZ | |
| - | AZ |
Reviews
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