KENNETH B WILLIAMS (MD) – Psychiatry Physician, NPI 1043311293

KENNETH B WILLIAMS (MD) is a healthcare provider. based in Elk city, Kansas. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 424626 (KS). The NPI Number for KENNETH B WILLIAMS (MD) is 1043311293

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH B WILLIAMS (MD)
NPI
1043311293
Phone
(316) 516-7131
Address
5465 C R 1725
Enumeration Date
26 September 2006
Last Update Date
25 October 2011

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
6203311748
Graduation Year
1985 (41 years ago)
PAC ID
9032184551
Group Practice PAC ID
7012904071
Professional Enrollment ID
I20040828000229
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

Provider Addresses for KENNETH B WILLIAMS (MD)

  • 5465 C R 1725

    ELK CITY, KS 67344

    Phone: (316) 516-7131

    Fax: (316) 239-7179

    Mailing address matches the actual address.

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: 2004-08-28

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
I20040828000229IPsychiatryKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67344)

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Provider's Procedures

KENNETH B WILLIAMS (MD) performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYKS90792Psychiatric diagnostic evaluation with medical services7975

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: 7012904071View full group profile
NameSpecialtyState
Physician AssistantKS
Mental Health CounselorKS
Nurse PractitionerKS
Nurse PractitionerKS
-TX
Mental Health CounselorKS
Physician AssistantKS
Clinical Social WorkerKS
Mental Health CounselorKS
Clinical Social WorkerKS

Reviews

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Frequently asked questions

How do payers reference KENNETH B WILLIAMS (MD)?
For KENNETH B WILLIAMS (MD), use NPI 1043311293 as the unique 10-digit identifier.
Would KENNETH B WILLIAMS (MD) appear as active to a payer?
You can treat KENNETH B WILLIAMS (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KENNETH B WILLIAMS (MD)?
KENNETH B WILLIAMS (MD)'s specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Kansas is KENNETH B WILLIAMS (MD) registered?
Use Elk City, Kansas as the headline location for KENNETH B WILLIAMS (MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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