Active NPI
William K. Kesto, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 4301092998
- Practice address
- 26750 Providence Pkwy
Ste 200
Novi, MI 48374-1212 - Phone
- (866) 974-2673
- Fax
- (866) 939-2673
- NPI assigned
- Jul 17, 2009
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301092998 | MI | |
| Orthopaedic Surgery Physician | 207X00000X | 4301092998 | MI | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 35.121161 | OH | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 46095 | KY | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 4301092998 | MI | Primary |
Addresses
Primary practice location
26750 Providence Pkwy
Ste 200
Novi, MI 48374-1212
Mailing address
18444 N 25TH Ave
Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140731000655 | MI | Practitioner - Orthopedic Surgery | 1951543099 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Wayne State University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Porretta Center for Orthopaedic Surgery, PLLCHenry Ford Health Providence HospitalPremier Therapy Centers, Inc
Practice addresses (Care Compare)
26750 Providence Pkwy
Suite 240
Novi, MI 48374-1211
Phone (866) 974-2673
26850 Providence Pkwy
Suite 260
Novi, MI 48374-1256
Phone (248) 465-5140
33010 Northwestern Hwy
West Bloomfield, MI 48322-3634
Hospital & facility affiliations
- Ascension Providence Hospital, Southfield and Novi
- Henry Ford Health Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.81 of 100
- Quality
- 83.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301092998 | MI | MD | Orthopaedic Surgery Physician |
| 46095 | KY | MD | Sports Medicine (Orthopaedic Surgery) Physician |
| 35.121161 | OH | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| The Porretta Center for Orthopaedic Surgery, PLLC | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Orthopaedic Surgery | Current | Accepting new patients |
| The Porretta Center for Orthopaedic Surgery, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Past | Accepting new patients | |
| Henry Ford Cornerstone Medical Group | Past | Accepting new patients | |
| Medical X-Ray Consultants, LTD | Past | Accepting new patients |
Locations
18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706
1400 Genesys Pkwy
#B136
Grand Blanc, MI 48439
Phone (810) 606-7629
1225 S Latson Rd
Ste 380
Howell, MI 48843
Phone (248) 465-5140
1225 S Latson Rd
Ste 130
Howell, MI 48843
Phone (517) 338-2360
26750 Providence Pkwy
Ste 200
Novi, MI 48374
Phone (248) 349-7015
26850 Providence Pkwy
Ste 260
Novi, MI 48374
Phone (248) 465-5140
26750 Providence Pkwy
#240
Novi, MI 48374
Phone (248) 349-7843
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
22250 Providence Dr
Ste 40
Southfield, MI 48075
Phone (248) 563-0306
22250 Providence Dr
Ste 401
Southfield, MI 48075
Phone (248) 349-7015
16001 W 9 Mile Rd
Fl 5
Southfield, MI 48075
Phone (248) 380-4335
Interoperability endpoints
- wkesto@direct.dmc.org
- wkesto309967@direct.hfhs.org
- william.kesto.1@22724.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
Organizations & group practices 14
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.
-
- Surgery Physician
- Southfield, MI
- NPI 1942265236
MI, Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Novi, MI
- NPI 1306818331
MI, Orthopaedic Surgery
-
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- Psychiatric Hospital Unit
- Southfield, MI
- NPI 1003892092
-
- Clinical Social Worker
- Southfield, MI
- NPI 1144285107
-
- Rehabilitation Hospital Unit
- Southfield, MI
- NPI 1255316584
-
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1851339196
-
- Physical Therapy Clinic/Center
- West Bloomfield, MI
- NPI 1962512202
-
- Durable Medical Equipment & Medical Supplies
- Novi, MI
- NPI 1053758391
-
- Durable Medical Equipment & Medical Supplies
- Southfield, MI
- NPI 1396182804
-
- Customized Equipment (DME)
- Howell, MI
- NPI 1407428584
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": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1609006279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18444 N 25TH AVE",
"address_2": "STE 310",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231266",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26750 PROVIDENCE PKWY",
"address_2": "STE 200",
"city": "NOVI",
"state": "MI",
"postal_code": "483741212",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESTO",
"first_name": "WILLIAM",
"middle_name": "K.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-17",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "4301092998",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301092998",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "OH",
"license": "35.121161",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "KY",
"license": "46095",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MI",
"license": "4301092998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.