DR. DAVID WILLIAMS (MD) – Diagnostic Radiology Physician, NPI 1619084704

DR. DAVID WILLIAMS (MD) is a healthcare provider. based in Melbourne, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. F80247 (FL). The NPI Number for DR. DAVID WILLIAMS (MD) is 1619084704

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID WILLIAMS (MD)
NPI
1619084704
Phone
(321) 409-9990
Address
PO BOX 400
Enumeration Date
24 August 2006
Last Update Date
17 October 2016

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3214099990
Graduation Year
1986 (40 years ago)
PAC ID
6800797978
Group Practice PAC ID
6204865223
Professional Enrollment ID
I20040421001839
Address ID
FL329011936ME709XXBLVD509
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for DR. DAVID WILLIAMS (MD)

  • Box Place, Cambridge, Hoppers Crossing, Melbourne, City of Wyndham, Victoria, 3029, Australia

    MELBOURNE, FL 32902

    Phone: (321) 409-9990

    Fax: (321) 309-9033

    Type: Mailing

  • 2222, South Harbor City Boulevard, Downtown Melbourne, Melbourne, Brevard County, Florida, 32901, United States

    MELBOURNE, FL 32901

    Phone: (321) 409-9990

    Fax: (321) 309-9033

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040421001839IDiagnostic RadiologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
72148Mri scan of lower spinal canal without contrast274274$0
73721Mri scan of leg joint without contrast152146$0
73221Mri scan of arm joint without contrast113104$0
72141Mri scan of upper spinal canal without contrast111110$0
77080Dxa bone density measurement of hip, pelvis, spine7373$0
View full utilization report →

Insurance plans in this area (ZIP 32902)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204865223View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

How do I look up DR. DAVID WILLIAMS (MD) by NPI?
Use NPI 1619084704 when you need to reference DR. DAVID WILLIAMS (MD) in forms, claims, or directories.
Is DR. DAVID WILLIAMS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. DAVID WILLIAMS (MD) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DR. DAVID WILLIAMS (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DAVID WILLIAMS (MD)?
The page summarizes Melbourne, Florida for DR. DAVID WILLIAMS (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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