Individual provider Active NPI

William K. Kesto, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Novi, MI
National Provider Identifier
1609006279
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
4301092998 Issued in MI
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

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, PLLC 22 clinicians
Henry Ford Health Providence Hospital 364 clinicians
Premier Therapy Centers, Inc 140 clinicians

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 Hospital, Southfield, MI, CCN 230019
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Merit-based Incentive Payment System (MIPS)

Final score
92.81 of 100Reported as individual
Quality
83.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301092998MIMDOrthopaedic Surgery Physician
46095KYMDSports Medicine (Orthopaedic Surgery) Physician
35.121161OHMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital CurrentSince Jun 19, 2025 Accepting new patients
The Porretta Center for Orthopaedic Surgery, PLLC CurrentSince Sep 1, 2014 Accepting new patients
Henry Ford Health Providence Hospital Orthopaedic Surgery CurrentSince Jun 19, 2025 Accepting new patients
The Porretta Center for Orthopaedic Surgery, PLLC Orthopaedic Surgery CurrentSince Sep 1, 2014 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

  • Direct secure messaging: wkesto@direct.dmc.org
  • Direct secure messaging: wkesto309967@direct.hfhs.org
  • Direct secure messaging: william.kesto.1@22724.direct.athenahealth.com
  • FHIR API: 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.

View all 14

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

Verify at the official NPI Registry.