DR. ANTHONY DWAYNE WILLIAMS (M.D.) – Gastroenterology Physician, NPI 1245246354

DR. ANTHONY DWAYNE WILLIAMS (M.D.) is a healthcare provider. based in Portage, Michigan. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301062274 (MI). The NPI Number for DR. ANTHONY DWAYNE WILLIAMS (M.D.) is 1245246354

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY DWAYNE WILLIAMS (M.D.)
NPI
1245246354
Phone
(269) 349-2266
Address
3304 Cooley Ct
Enumeration Date
31 July 2006
Last Update Date
27 October 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
5395830699
Group Practice PAC ID
8921289760
Professional Enrollment ID
I20071002000261

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

648 GASTROENTEROLOGY in MI

Provider Addresses for DR. ANTHONY DWAYNE WILLIAMS (M.D.)

  • 3304 Cooley Ct

    Portage, MI 490247430

    Phone: (269) 349-2266

    Type: Location

  • 23077, Greenfield Road, Southfield, Oakland County, Michigan, 48075, United States

    STE 231

    SOUTHFIELD, MI 480753709

    Phone: (248) 569-2160

    Fax: (248) 569-4875

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2023-11-13 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($57).

Total Amount

$57

General + Research + Ownership

Payments

3

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-10-02

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
I20071002000261IGastroenterologyMITBD

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
99212Established patient office or other outpatient visit, 10-19 minutes4837$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk4242$0
99203New patient office or other outpatient visit, 30-44 minutes2929$0
99213Established patient office or other outpatient visit, 20-29 minutes2726$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2525$0
View full utilization report →

Insurance plans in this area (ZIP 49024)

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Provider's Procedures

DR. ANTHONY DWAYNE WILLIAMS (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYMI45385Removal of polyps or growths of large bowel using an endoscope1212

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: 8921289760View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMI
-MI
Nurse PractitionerMI
Physician AssistantMI
Clinical PsychologistMI
Physician AssistantMI
-MI
Diagnostic RadiologyMI
Vascular Surgery, General SurgeryMI
Orthopedic SurgeryMI

Reviews

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Frequently asked questions

What is the registry number for DR. ANTHONY DWAYNE WILLIAMS (M.D.)?
The registry entry for DR. ANTHONY DWAYNE WILLIAMS (M.D.) shows NPI 1245246354.
Should I treat DR. ANTHONY DWAYNE WILLIAMS (M.D.) as an active provider?
Patients and plans typically see DR. ANTHONY DWAYNE WILLIAMS (M.D.) as active in the national extract.
What services align with DR. ANTHONY DWAYNE WILLIAMS (M.D.)'s listing?
DR. ANTHONY DWAYNE WILLIAMS (M.D.)'s public classification highlights Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ANTHONY DWAYNE WILLIAMS (M.D.)?
The directory associates DR. ANTHONY DWAYNE WILLIAMS (M.D.) with Portage, Michigan. Check all listed addresses for suites or satellite offices.
Who maintains DR. ANTHONY DWAYNE WILLIAMS (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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