DR. EDMUND P IV WILLIAMS (MD) – Psychiatry Physician, NPI 1457345423

DR. EDMUND P IV WILLIAMS (MD) is a healthcare provider. based in San antonio, Texas. specializing in FAMILY PRACTICE, PSYCHIATRY. They hold the professional credentials MD. They hold a License No. G3912 (TX). The NPI Number for DR. EDMUND P IV WILLIAMS (MD) is 1457345423

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDMUND P IV WILLIAMS (MD)
NPI
1457345423
Phone
(210) 404-9696
Address
1380 PANTHEON WAY
Enumeration Date
7 September 2005
Last Update Date
27 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
2104049696
Graduation Year
1982 (44 years ago)
PAC ID
3274560297
Group Practice PAC ID
2567990179
Professional Enrollment ID
I20050721000446
Address ID
TX782561926SA7122XHLXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for DR. EDMUND P IV WILLIAMS (MD)

  • 1380 PANTHEON WAY

    STE 310

    SAN ANTONIO, TX 782322288

    Phone: (210) 404-9696

    Fax: (210) 404-9466

    Type: Mailing

  • 7122 STONEWALL HL

    SAN ANTONIO, TX 782561926

    Phone: (210) 404-9696

    Fax: (210) 404-9466

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 204 Open Payments records for all available years, with a total value of $24,693.

Total Amount is formed as General ($24,693) + Research ($0) + Ownership ($0) = $24,693.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($22,198).

Total Amount

$24,693

General + Research + Ownership

Payments

204

Total payment records

General Amount

$24,693

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2005-07-21

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
I20050721000446IPsychiatryTXTBD

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 78232)

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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: 2567990179View full group profile
NameSpecialtyState
Nurse PractitionerTX
Mental Health CounselorTX
Nurse PractitionerTX
Physician AssistantTX
P S Y C H I A T R YTX
Clinical Social WorkerTX
Nurse PractitionerTX
Physician AssistantTX
P S Y C H I A T R YTX

Reviews

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Frequently asked questions

Can I cross-check DR. EDMUND P IV WILLIAMS (MD) using NPI 1457345423?
NPI 1457345423 belongs to DR. EDMUND P IV WILLIAMS (MD); compare other details if you need extra assurance.
Is DR. EDMUND P IV WILLIAMS (MD) shown as active in public data?
Registry records indicate DR. EDMUND P IV WILLIAMS (MD) maintains an active NPI.
What clinical focus is listed for DR. EDMUND P IV WILLIAMS (MD)?
At a glance, DR. EDMUND P IV WILLIAMS (MD) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. EDMUND P IV WILLIAMS (MD)?
Directory geography for DR. EDMUND P IV WILLIAMS (MD) centers on San Antonio, Texas.
When was this NPI issued?
Enumeration for DR. EDMUND P IV WILLIAMS (MD) is noted as September 7, 2005 where the registry provides it.

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