LYNELL WILLIAMS (MD) – Critical Care Medicine (Anesthesiology) Physician, NPI 1164662128

LYNELL WILLIAMS (MD) is a healthcare provider. based in Detroit, Michigan. specializing in ANESTHESIOLOGY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. 982903 (CA). The NPI Number for LYNELL WILLIAMS (MD) is 1164662128

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
LYNELL WILLIAMS (MD)
NPI
1164662128
Phone
(313) 916-8234
Address
2799 W Grand Blvd
Enumeration Date
3 March 2009
Last Update Date
8 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2099432000
Graduation Year
2008 (18 years ago)
PAC ID
2567696776
Group Practice PAC ID
4082754056
Professional Enrollment ID
I20141204000703
Address ID
CA952046019ST1800XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,721 ANESTHESIOLOGY in MI

Provider Addresses for LYNELL WILLIAMS (MD)

  • 2799 W Grand Blvd

    Detroit, MI 482022608

    Phone: (313) 916-8234

    Fax: (313) 916-9434

    Type: Location

  • 325, Distel Circle, Los Altos, Santa Clara County, California, 94022, United States

    LOS ALTOS, CA 940221408

    Phone: (510) 869-6883

    Fax: (510) 869-6888

    Type: Mailing

  • 350 HAWTHORNE AVE RM 2346

    OAKLAND, CA 94609

    Phone: (510) 869-6883

    Fax: (510) 869-6888

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Novo Nordisk Inc ($114).

Total Amount

$114

General + Research + Ownership

Payments

1

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$114
View all Open Payments →|Open Payments Risk Radar →

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: 2014-12-04

PECOS data refreshed: 2026-06-15

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
I20141204000703IAnesthesiologyCATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 48202)

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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: 4082754056View full group profile
NameSpecialtyState
-CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)ID
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

How do payers reference LYNELL WILLIAMS (MD)?
For LYNELL WILLIAMS (MD), use NPI 1164662128 as the unique 10-digit identifier.
Is LYNELL WILLIAMS (MD) shown as active in public data?
Registry records indicate LYNELL WILLIAMS (MD) maintains an active NPI.
What kind of doctor is LYNELL WILLIAMS (MD)?
LYNELL WILLIAMS (MD) is associated with Critical Care Medicine (Anesthesiology) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is LYNELL WILLIAMS (MD) associated with Detroit?
Public fields place LYNELL WILLIAMS (MD) around Detroit, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for LYNELL WILLIAMS (MD) is noted as March 3, 2009 where the registry provides it.

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