Organization Active NPI

Douglas G Hames MD PLLC

  • Internal Medicine Physician
  • Eastpointe, MI
National Provider Identifier
1396433413
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DOUGLAS G HAMES MD PLLC
Practice address
22850 Kelly Rd
Eastpointe, MI 48021-2028
Phone
(586) 774-2900
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Dr. Douglas G Hames, MDNPI 1457400954
Title
Physician
Phone
(313) 657-2324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

22850 Kelly Rd
Eastpointe, MI 48021-2028

Mailing address

1225 Sunningdale Dr
Grosse Pointe Woods, MI 48236-1672
Phone (313) 657-2324

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230815000471 MI Part B Supplier - Clinic/Group Practice 9830551456 Receives reassigned benefits from 1 practitioner
Practice locations: Eastpointe, MI

National Provider Directory

National Provider Directory

Locations

22850 Kelly Rd
Eastpointe, MI 48021
Phone (586) 774-2900

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": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1396433413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 SUNNINGDALE DR",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361672",
            "telephone_number": "313-657-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22850 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212028",
            "telephone_number": "586-774-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS G HAMES MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "HAMES",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-657-2324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.