Individual provider Active NPI

Todd B Proctor, MD

  • Otolaryngology Physician
  • Rochester Hills, MI
National Provider Identifier
1316929250
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301054694 Issued in MI
Practice address
455 S Livernois Rd Ste C23
Rochester Hills, MI 48307-2583
Phone
(248) 648-8100
Fax
(248) 648-8060
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301054694 MI Primary

Addresses

Primary practice location

455 S Livernois Rd Ste C23
Rochester Hills, MI 48307-2583

Mailing address

455 S Livernois Rd Ste C23
Rochester Hills, MI 48307-2583
Phone (248) 648-8100

Other identifiers 3

IdentifierTypeStateIssuer
3394295MedicaidMI
0M23890OtherMIMEDICARE GROUP #
040631293OtherBCBSM

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
I20070802000365 MI Practitioner - Otolaryngology 7315038544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Michigan Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2251 N Squirrel Rd
Suite 105
Auburn Hills, MI 48326-4601
Phone (248) 648-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98 of 100Reported as individual
Quality
99.63
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301054694MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proctor ENT PLC Otolaryngology CurrentSince Jul 1, 1996 Accepting new patients

Locations

2251 N Squirrel Rd
Ste 105
Auburn Hills, MI 48326
Phone (248) 648-8100

Interoperability endpoints

  • Direct secure messaging: tproctor1145107@direct.hfhs.org

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 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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1316929250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S LIVERNOIS RD STE C23",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072583",
            "telephone_number": "248-648-8100",
            "fax_number": "248-648-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S LIVERNOIS RD STE C23",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072583",
            "telephone_number": "248-648-8100",
            "fax_number": "248-648-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "TODD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301054694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3394295",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "0M23890",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "040631293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.