Active NPI
William J Rozell, DO
- Vascular & Interventional Radiology Physician
- Grand Rapids, MI
National Provider Identifier
1215956008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 5101011952
- Practice address
- 3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746 - Phone
- (616) 363-7272
- Fax
- (616) 363-7290
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 5101011952 | MI | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 5101011952 | MI | Primary |
Addresses
Primary practice location
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Mailing address
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Michigan State University College of Osteopathic Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4836 Greenhill CT SE
Grand Rapids, MI 49546-3784
Phone (731) 240-1747
Hospital & facility affiliations
- Jackson-Madison County General Hospital
- Volunteer Community Hospital
- West Tennessee Healthcare Milan Hospital
- Dyersburg Regional Medical Center
- Baptist Memorial Hospital - Carroll County
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5378 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Clinic PA | Current | Accepting new patients | |
| Jackson Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Jackson Clinic PA | Diagnostic Radiology | Current | Accepting new patients |
| Jackson Madison County General Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Lansing Radiology Associates P C | Diagnostic Radiology | Past | Accepting new patients |
Locations
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
87 Murray Guard Dr
Ste B
Jackson, TN 38305
Phone (731) 664-1375
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
2859 Highway 45 Byp
Jackson, TN 38305
Phone (731) 660-8360
9 Physicians Dr
Jackson, TN 38305
Phone (731) 661-0086
Interoperability endpoints
- wrozelldo8941@epic00.shdirect.org
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Jackson, TN
- NPI 1891687208
MI
-
- Durable Medical Equipment & Medical Supplies
- Jackson, TN
- NPI 1689443038
-
- Diagnostic Radiology Physician
- Lansing, MI
- NPI 1669425658
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntingdon, TN
- NPI 1710941356
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
- General Acute Care Hospital
- Martin, TN
- NPI 1275505372
-
- General Acute Care Hospital
- Milan, TN
- NPI 1699765453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1215956008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-363-7290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-363-7290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZELL",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "5101011952",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "5101011952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.