Individual provider Active NPI

Wayne Francis Little, MD

  • Family Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1508854456
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301044950 Issued in MI
Practice address
1821 Whites Rd
Suite C
Kalamazoo, MI 49008-4805
Phone
(269) 381-7220
Fax
(269) 381-7224
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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 4301044950 MI Primary

Addresses

Primary practice location

1821 Whites Rd
Suite C
Kalamazoo, MI 49008-4805

Mailing address

1821 Whites Rd
Suite C
Kalamazoo, MI 49008-4805
Phone (269) 381-7220

Other identifiers 1

IdentifierTypeStateIssuer
4516768MedicaidMI

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
I20050823000259 MI Practitioner - Family Practice 1254360415 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Michigan Office of Financial Management CurrentSince May 3, 2021 Accepting new patients
State of Michigan Office of Financial Management Current Accepting new patients
State of Michigan Office of Financial Management CurrentSince May 3, 2021 Accepting new patients
Promed Healthcare Past Accepting new patients

Locations

2040 Chambers Rd
Caro, MI 48723
Phone (989) 672-9338

2000 Chambers Rd
Caro, MI 48723
Phone (517) 673-3191

Interoperability endpoints

  • Direct secure messaging: wayne.little.1@18212.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1508854456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WHITES RD",
            "address_2": "SUITE C",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490084805",
            "telephone_number": "269-381-7220",
            "fax_number": "269-381-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WHITES RD",
            "address_2": "SUITE C",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490084805",
            "telephone_number": "269-381-7220",
            "fax_number": "269-381-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "WAYNE",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301044950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4516768",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.