Individual provider Active NPI

Michael Lawrence Will, MD

  • Family Medicine Physician
  • Palm Desert, CA
National Provider Identifier
1073876090
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301101299 Issued in MI
Practice address
42575 Washington St
Palm Desert, CA 92211-8850
Phone
(760) 360-0333
Fax
(760) 360-1053
NPI assigned
Jun 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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 4301101299 MI Primary

Addresses

Primary practice location

42575 Washington St
Palm Desert, CA 92211-8850

Mailing address

4009 Orchard Dr
Midland, MI 48640-6122
Phone (989) 389-3515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150717000676 CA Practitioner - Family Practice 6507096617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Will Family Medical Group a Professional CorporationGroup PAC ID 5193095115, 4 clinicians

Practice addresses (Care Compare)

42575 Washington St
Palm Desert, CA 92211-8850
Phone (760) 360-0333

Hospital & facility affiliations

  • Alma Home Health , Inc Home health agency, Palm Desert, CA, CCN 559261
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Will Family Medical Group, a Professional Corporation Family Medicine CurrentSince May 15, 2017 Accepting new patients

Locations

82900 Avenue 42
Ste G101
Indio, CA 92203
Phone (760) 863-4100

42575 Washington St
Palm Desert, CA 92211
Phone (760) 360-0333

42575 Washington St
Ste A
Palm Desert, CA 92211

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: michael.will.p64@direct.mydohc.nextgenshare.com

Organizations & group practices 1

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1073876090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 ORCHARD DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406122",
            "telephone_number": "989-389-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42575 WASHINGTON ST",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922118850",
            "telephone_number": "760-360-0333",
            "fax_number": "760-360-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILL",
        "first_name": "MICHAEL",
        "middle_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301101299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.