Individual provider Active NPI

Douglas W Poff, DO

  • Family Medicine Physician
  • Fowler, MI
National Provider Identifier
1013972819
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101008254 Issued in MI
Practice address
11017 West Third St
Fowler, MI 48835
Phone
(989) 593-2525
Fax
(989) 593-3385
NPI assigned
Apr 18, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101008254 MI Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209000392 MI Practitioner - Family PracticePractitioner - General Practice 2769448877 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101008254MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Carson Hospital CurrentSince Oct 1, 1983 Accepting new patients
Sparrow Carson Hospital CurrentSince Oct 1, 1983 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

  • Direct secure messaging: dpoff@yourcarecommunity.org
  • Direct secure messaging: dpoff9178@sparrowdirecthie.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013972819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E ELM ST",
            "address_2": "PO BOX 879",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "48811",
            "telephone_number": "989-584-3971",
            "fax_number": "989-584-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11017 WEST THIRD ST",
            "city": "FOWLER",
            "state": "MI",
            "postal_code": "48835",
            "telephone_number": "989-593-2525",
            "fax_number": "989-593-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POFF",
        "first_name": "DOUGLAS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fowler, MI

Sources for this page

Verify at the official NPI Registry.