DR. JONATHAN P WILLIAMS (MD) – Diagnostic Radiology Physician, NPI 1003079112

DR. JONATHAN P WILLIAMS (MD) is a healthcare provider. based in Bloomington, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. A109484 (CA). The NPI Number for DR. JONATHAN P WILLIAMS (MD) is 1003079112

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN P WILLIAMS (MD)
NPI
1003079112
Phone
(952) 837-9700
Address
4801 W 81ST ST STE 108
Enumeration Date
8 July 2008
Last Update Date
22 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9529141720
Graduation Year
2008 (18 years ago)
PAC ID
1153569710
Group Practice PAC ID
7113830142
Professional Enrollment ID
I20140520002247
Address ID
MN551043727SA1700XWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

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Provider Addresses for DR. JONATHAN P WILLIAMS (MD)

  • 108, West 81st Street, Bloomington, Hennepin County, Minnesota, 55420, United States

    BLOOMINGTON, MN 554371111

    Phone: (952) 837-9700

    Type: Mailing

  • 250, Thompson Street, Saint Paul, Ramsey County, Minnesota, 55102, United States

    SAINT PAUL, MN 551022370

    Phone: (651) 292-2000

    Fax: (651) 292-2136

    Type: Location

  • 2355 HIGHWAY 36 W STE 100

    ROSEVILLE, MN 551133905

    Phone: (651) 292-2000

    Type: Mailing

  • 9055 Springbrook Dr NW

    Coon Rapids, MN 554335841

    Phone: (763) 780-9155

    Type: Location

  • 4801 W 81st St Ste 108

    Bloomington, MN 554371111

    Phone: (952) 837-9700

    Type: Location

  • 250 Thompson St

    Saint Paul, MN 551022370

    Phone: (651) 292-2000

    Fax: (651) 292-2136

    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: 2022-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20140520002247IDiagnostic RadiologyMNTBD
I20200414001520IDiagnostic RadiologyWITBD
I20220920002917IDiagnostic RadiologyNDTBD

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
71046X-ray of chest, 2 views322228$0
73630X-ray of foot, minimum of 3 views210157$0
73562X-ray of knee, 3 views201151$0
73030X-ray of shoulder, minimum of 2 views200170$0
73560X-ray of knee, 1-2 views174155$0
View full utilization report →

Insurance plans in this area (ZIP 55437)

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Provider's Procedures

DR. JONATHAN P WILLIAMS (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA71010X-ray of chest, 1 view, front137131
DIAGNOSTIC RADIOLOGYCA71250CT scan chest1111
DIAGNOSTIC RADIOLOGYCA73110X-ray of wrist, minimum of 3 views1414
DIAGNOSTIC RADIOLOGYCA73562X-ray of knee, 3 views1312
DIAGNOSTIC RADIOLOGYCA73630X-ray of foot, minimum of 3 views3531
DIAGNOSTIC RADIOLOGYCA74177CT scan of abdomen and pelvis with contrast5151
DIAGNOSTIC RADIOLOGYCA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1212

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: 7113830142View full group profile

Reviews

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Frequently asked questions

Can I verify DR. JONATHAN P WILLIAMS (MD) with an NPI only?
You can start verification with NPI 1003079112 for DR. JONATHAN P WILLIAMS (MD), then check state licensing separately.
Does CMS list DR. JONATHAN P WILLIAMS (MD) as active?
Yes — DR. JONATHAN P WILLIAMS (MD) is active in the NPI listing used on this page.
What is DR. JONATHAN P WILLIAMS (MD)'s specialty?
The listing groups DR. JONATHAN P WILLIAMS (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JONATHAN P WILLIAMS (MD) based?
DR. JONATHAN P WILLIAMS (MD) is tied to Bloomington, Minnesota in the data we show; additional addresses may exist on the full record.
Why does DR. JONATHAN P WILLIAMS (MD) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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