Douglas W Poff, DO
Individual provider Active NPI Family Medicine Physician · Fowler, MI
NPI 1013972819 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1013972819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101008254 (MI)
- Practice address
- 11017 West Third St
Fowler, MI 48835 - Phone
- (989) 593-2525
- Fax
- (989) 593-3385
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041209000392 | MI | Practitioner - Family Practice |
2769448877 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Carson Hospital | Current |
Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current |
Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
102 S 3rd St
Ste 100
Carson City, MI 48811
Phone (989) 584-1308
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
11017 W 3rd St
Fowler, MI 48835
Phone (517) 593-2525
1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145
505 E Bridge St
Lyons, MI 48851
Phone (313) 855-3345
Interoperability endpoints
- dpoff@yourcarecommunity.org
- dpoff9178@sparrowdirecthie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101008254 | MI | Yes |
Addresses
Primary practice location
11017 West Third St
Fowler, MI 48835
Mailing address
406 E Elm St
PO Box 879
Carson City, MI 48811
Phone (989) 584-3971
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1442562 | Medicaid | MI |
Other providers in Fowler, MI
- Fowler Osteopathic Clinic P.C./Lyons Clinic of Family Medicine
- Aubrey George
- Gabriella Elenora Lofton
- L John Osborn
- Rebecca Piron-Campbell
- Lauren Marie Schafer
- Sparrow Carson Hospital
All providers in Fowler, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.