NPIMap

Individual provider Active NPI

Douglas Gregory Hames, M.D.

  • Internal Medicine Physician
  • Eastpointe, MI
National Provider Identifier
1457400954
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DH040884 Issued in MI
Practice address
22850 Kelly Rd
Eastpointe, MI 48021-2028
Phone
(586) 774-2900
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DH040884 MI 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) 882-6611

Other identifiers 4

IdentifierTypeStateIssuer
0503285OtherMIBCBS
2101011MedicaidMI
4301040884OtherMIBC
040884OtherMIPRIVATE INS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100423000265 MI Practitioner - Internal Medicine 4880721810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baco Care Services LLCGroup PAC ID 6103286737, 13 clinicians

Practice addresses (Care Compare)

22850 Kelly Rd
Eastpointe, MI 48021-2028
Phone (586) 774-2900

26911 Northwestern Hwy
Suite 530
Southfield, MI 48033-4717
Phone (313) 530-5494

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DH040884MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Douglas G Hames MD PLLC Internal Medicine CurrentSince Jul 20, 2023 Accepting new patients
Henry Ford Semi Medical Group Internal Medicine Current Accepting new patients
Henry Ford Semi Medical Group CurrentSince Nov 1, 2015 Accepting new patients
Baco Care Services LLC Internal Medicine CurrentSince May 1, 2025 Accepting new patients

Locations

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

26911 Northwestern Hwy
Ste 530
Southfield, MI 48033
Phone (313) 530-5494

37771 Schoenherr Rd
Ste 104
Sterling Hts, MI 48312
Phone (810) 286-0050

Interoperability endpoints

  • Direct secure messaging: douglas.hames.1@29252.direct.athenahealth.com

Organizations & group practices 5

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 7

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1457400954",
    "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": "313-882-6611"
        },
        {
            "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": {
        "last_name": "HAMES",
        "first_name": "DOUGLAS",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "DH040884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0503285",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101011",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "4301040884",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INS",
            "identifier": "040884",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

Verify at the official NPI Registry.