Individual provider Active NPI

William F Rollins, DO

  • Family Medicine Physician
  • Canton, MI
National Provider Identifier
1629048152
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101010294 Issued in MI
Practice address
8532 N Canton Center Rd
Canton, MI 48187-1310
Phone
(734) 453-2151
Fax
(734) 453-9005
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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 5101010294 MI Primary

Addresses

Primary practice location

8532 N Canton Center Rd
Canton, MI 48187-1310

Mailing address

8532 N Canton Center Rd
Canton, MI 48187-1310
Phone (734) 453-2151

Other practice location 1

38253 Ann Arbor Rd
Livonia, MI 48150-3432
Phone (734) 464-9200

Other identifiers 1

IdentifierTypeStateIssuer
2751992-11MedicaidMI

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
I20050303000860 MI Practitioner - Family Practice 7810984176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Family Health Care PCGroup PAC ID 9638077621, 20 clinicians

Practice addresses (Care Compare)

8532 N Canton Ctr Rd
Canton, MI 48187-1310
Phone (734) 453-2151

Hospital & facility affiliations

  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101010294MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Family Health Care, P.C. Family Medicine CurrentSince May 1, 2020 Accepting new patients

Locations

8532 N Canton Center Rd
Canton, MI 48187
Phone (734) 453-2151

2255 Fort St
Lincoln Park, MI 48146
Phone (313) 357-7500

38253 Ann Arbor Rd
Livonia, MI 48150
Phone (734) 462-3710

28212 Franklin Rd
Southfield, MI 48034

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1629048152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8532 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "734-453-2151",
            "fax_number": "734-453-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "734-453-2151",
            "fax_number": "734-453-9005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38253 Ann Arbor Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481503432",
            "country_code": "US",
            "telephone_number": "734-464-9200",
            "fax_number": "734-464-0017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2751992-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.