Organization Active NPI

Premier Hematology & Oncology PLLC

  • Hematology & Oncology Physician
  • Dearborn, MI
National Provider Identifier
1285576934
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
PREMIER HEMATOLOGY & ONCOLOGY PLLC
Practice address
24513 Ford Rd
Dearborn, MI 48128-1131
Phone
(313) 791-7992
Fax
(313) 406-2961
NPI assigned
Apr 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Rachelle Williams
Title
Credentialing/Billing Manager
Phone
(734) 245-7822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

24513 Ford Rd
Dearborn, MI 48128-1131

Mailing address

24513 Ford Rd
Dearborn, MI 48128-1131
Phone (313) 791-7992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260511003753 MI Part B Supplier - Clinic/Group Practice 0244708907 Receives reassigned benefits from 1 practitioner
Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Locations

24513 Ford Rd
Dearborn, MI 48128
Phone (313) 562-9020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1285576934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24513 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281131",
            "telephone_number": "313-791-7992",
            "fax_number": "313-406-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24513 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281131",
            "telephone_number": "313-791-7992",
            "fax_number": "313-406-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEMATOLOGY & ONCOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING MANAGER",
        "authorized_official_telephone_number": "734-245-7822"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.