Individual provider Active NPI

Ralph Edward Williams II, M.D.

  • Family Medicine Physician
  • Southfield, MI
National Provider Identifier
1396942454
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301090759 Issued in MI
Practice address
24777 Greenfield Rd Ste 202
Southfield, MI 48075-3065
Phone
(248) 554-1313
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 4301090759 MI Primary

Addresses

Primary practice location

24777 Greenfield Rd Ste 202
Southfield, MI 48075-3065

Mailing address

24777 Greenfield Rd Ste 202
Southfield, MI 48075-3065
Phone (248) 554-1313

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
I20101026000082 MI Practitioner - Family Practice 4385837186 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sciometrix LLCGroup PAC ID 7618367087, 58 clinicians

Practice addresses (Care Compare)

24777 Greenfield Rd
Suite 202
Southfield, MI 48075-3065
Phone (248) 554-1313

306 S Washington Ave
Suite 600
Royal Oak, MI 48067-3837
Phone (860) 335-5064

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix Inc CurrentSince Oct 15, 2023 Accepting new patients
Sciometrix LLC CurrentSince Oct 15, 2023 Accepting new patients
Family First Wellness Center, PLLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Health Centers Detroit Foundation, Inc. CurrentSince Jul 1, 2010 Accepting new patients
Health Centers Detroit Foundation, Inc. CurrentSince Jul 1, 2010 Accepting new patients
Med With Love, PLLC Family Medicine PastSince Sep 1, 2023 Accepting new patients
Southgate Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
Hartland Urgent Care PLLC Past Accepting new patients

Locations

4201 Saint Antoine St
#9D
Detroit, MI 48201

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

4201 Saint Antoine St
Ste 7A
Detroit, MI 48201
Phone (313) 745-4091

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

24777 Greenfield Rd
Ste 202
Southfield, MI 48075
Phone (248) 554-1313

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCADD/Endpoint/BJCADD
  • Direct secure messaging: rwilliams@hcd.adaptamed.direct-ci.com
  • Direct secure messaging: rwilliams1157757@direct.hfhs.org

Organizations & group practices 10

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 2

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1396942454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24777 GREENFIELD RD STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753065",
            "telephone_number": "248-554-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24777 GREENFIELD RD STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753065",
            "telephone_number": "248-554-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RALPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301090759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.