Active NPI
William James Predun, MD
- Internal Medicine Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 75630-20
- Practice address
- 744 S Webster Ave
Green Bay, WI 54301-3505 - Phone
- (917) 593-8973
- NPI assigned
- Mar 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 75630-20 | WI | Primary |
Addresses
Primary practice location
744 S Webster Ave
Green Bay, WI 54301-3505
Mailing address
9825 Jordan Gateway
Sandy, UT 84070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, AZ, IN, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185
Hospital & facility affiliations
- Kingman Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group PC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group PC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group, Wisconsin, S.C | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group PC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Indiana PC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group, Michigan, PC | Internal Medicine | Past | Accepting new patients |
| Kingman Healthcare, Inc | Past | Accepting new patients |
Locations
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210
Interoperability endpoints
- evh5080@yourcarecommunity.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1760652218
-
- Internal Medicine Physician
- Goshen, IN
- NPI 1093973885
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1205883725
-
- Internal Medicine Physician
- Astoria, OR
- NPI 1841461803
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1922279991
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1053655134
-
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1457856502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9825 JORDAN GATEWAY",
"city": "SANDY",
"state": "UT",
"postal_code": "84070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013505",
"telephone_number": "917-593-8973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREDUN",
"first_name": "WILLIAM",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-29",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "75630-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.