Individual provider Active NPI

William Birol Halacoglu, DO

  • Emergency Medicine Physician
  • Mt Clemens, MI
National Provider Identifier
1407898737
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO2280 Issued in NV
Practice address
1000 Harrington Blvd
Mt Clemens, MI 48043
Phone
(586) 493-8000
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101011405 MI
Emergency Medicine Physician 207P00000X DO2280 NV Primary
Emergency Medicine Physician 207P00000X 34009289 OH

Addresses

Primary practice location

1000 Harrington Blvd
Mt Clemens, MI 48043

Mailing address

PO Box 8836
Grand Rapids, MI 49518
Phone (866) 898-7139

Other identifiers 3

IdentifierTypeStateIssuer
0155043655OtherMIBCBS
113171413MedicaidMI
000000545497OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070801000441 MI Practitioner - Emergency Medicine 3274636568 Reassigns benefits to 2 organizations
I20171110001903 NV Practitioner - Emergency Medicine 3274636568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macomb Emergency Physicians PLLCGroup PAC ID 4284931130, 16 clinicians
Observation Physicians of Macomb PLLCGroup PAC ID 5395166482, 24 clinicians

Practice addresses (Care Compare)

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.18 of 100Reported as group
Quality
69.61
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34009289OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine Current Accepting new patients
Macomb Emergency Physicians PLLC Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Observation Physicians of Macomb PLLC Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Springfield Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients
Venice Emergency Medical Associates PA Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

880 Alder Ave
Incline Vlg, NV 89451
Phone (775) 831-6200

4980 W Sahara Ave
Ste 100
Las Vegas, NV 89146
Phone (702) 216-7365

4855 Blue Diamond Rd
Ste 100
Las Vegas, NV 89139
Phone (702) 216-7305

Organizations & group practices 7

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1407898737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8836",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49518",
            "telephone_number": "866-898-7139",
            "fax_number": "616-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HARRINGTON BLVD",
            "city": "MT CLEMENS",
            "state": "MI",
            "postal_code": "48043",
            "telephone_number": "586-493-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALACOGLU",
        "first_name": "WILLIAM",
        "middle_name": "BIROL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101011405",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO2280",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34009289",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0155043655",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113171413",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000545497",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Clemens, MI

Sources for this page

Verify at the official NPI Registry.