William Charles Allsopp, D.O.

Key facts

NPI

1598029407

Entity type

Individual (NPI type 1)

Primary specialty

Vascular & Interventional Radiology Physician 2085R0204X

License

5315090514 (MI)

Practice address

1105 Sixth St
Traverse City, MI 49684

Phone

(231) 935-0497

NPI assigned

Jun 26, 2012

Sex

Male

Sole proprietor

Yes

Organizations & group practices 3

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.

• Grand Traverse Radiologists PC Diagnostic Radiology Physician · Traverse City, MI · NPI 1760404891
  Medicare reassignment Care Compare group NPD DIAGNOSTIC RADIOLOGY · MI
• Novello Imaging PLC Radiology Clinic/Center · Traverse City, MI · NPI 1265030068
  Medicare reassignment NPD MI
• Dr Richard Burke Pain and Neuromodulation PLLC Interventional Pain Medicine Physician · Traverse City, MI · NPI 1578246526
  NPD

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kalkaska Memorial Health Center Critical Access Hospital · Kalkaska, MI · NPI 1497751309
  Care Compare affiliation Hospital
• Munson Healthcare Cadillac Family Medicine Physician · Cadillac, MI · NPI 1487051611
  Care Compare affiliation Hospital
• Munson Healthcare Cadillac General Acute Care Hospital · Cadillac, MI · NPI 1841696754
  Care Compare affiliation Hospital
• Munson Healthcare Grayling Rural Acute Care Hospital · Grayling, MI · NPI 1083010953
  Care Compare affiliation Hospital
• Munson Healthcare Otsego Memorial Hospital General Acute Care Hospital · Gaylord, MI · NPI 1124028972
  Care Compare affiliation Hospital
• Munson Medical Center General Acute Care Hospital · Traverse City, MI · NPI 1952307852
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Interventional Radiology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand Traverse Radiologists PC (32 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital · Traverse City, MI · CCN 230097
• Munson Healthcare Cadillac Hospital Hospital · Cadillac, MI · CCN 230081
• Munson Healthcare Otsego Memorial Hospital Hospital · Gaylord, MI · CCN 230133
• Munson Healthcare Grayling Hospital Hospital · Grayling, MI · CCN 230058
• Kalkaska Memorial Health Center Hospital · Kalkaska, MI · CCN 231301

Merit-based Incentive Payment System (MIPS)

Final score

92.64 of 100 (group)

Quality

91.34

Improvement activities

40

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 29, 2020.

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1598029407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30516, DEPT. 9516",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489098016",
            "telephone_number": "800-475-6112",
            "fax_number": "423-826-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-935-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLSOPP",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5315090514",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "5315090514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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