Individual provider Active NPI

William Barker, D.O.

  • Family Medicine Physician
  • Chesterfield, MI
National Provider Identifier
1275554073
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101013935 Issued in MI
Practice address
30795 23 Mile Rd
Suite 205
Chesterfield, MI 48047-5720
Phone
(586) 421-3150
Fax
(586) 421-3151
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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 5101013935 MI Primary

Addresses

Primary practice location

30795 23 Mile Rd
Suite 205
Chesterfield, MI 48047-5720

Mailing address

30795 23 Mile Rd
Suite 205
Chesterfield, MI 48047-5720
Phone (586) 421-3150

Other identifiers 1

IdentifierTypeStateIssuer
4320330MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wbarker10668@direct.hfhs.org

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
I20100113000023 MI Practitioner - Family Practice 5193866143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

15717 15 Mile Rd
Clinton Township, MI 48035-2101

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101013935MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Henr Y Ford Health System Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Henry Ford Macomb Hospital Corporation Family Medicine Current Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Dec 12, 2009 Accepting new patients
Henry Ford Health System CurrentSince Mar 1, 2022 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Macomb Hospital Corporation Family Medicine CurrentSince Dec 12, 2009 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients

Locations

80650 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6410

30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000

30795 23 Mile Rd
Ste 205
Chesterfield, MI 48047
Phone (586) 421-3000

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15520 19 Mile Rd
Ste 430
Clinton Twp, MI 48038
Phone (586) 228-6200

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

50505 Schoenherr Rd
Shelby Township, MI 48315
Phone (586) 580-1001

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1275554073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30795 23 MILE RD",
            "address_2": "SUITE 205",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475720",
            "telephone_number": "586-421-3150",
            "fax_number": "586-421-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30795 23 MILE RD",
            "address_2": "SUITE 205",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475720",
            "telephone_number": "586-421-3150",
            "fax_number": "586-421-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4320330",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wbarker10668@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "30795 23 Mile Rd",
            "address_2": "Suite 205",
            "city": "Chesterfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480475720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.