Individual provider Active NPI

David Williams, MD

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1710022017
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301044581 Issued in MI
Practice address
29201 Telegraph Rd Ste 460
Southfield, MI 48034-7604
Phone
(248) 450-3507
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301044581 MI Primary

Addresses

Primary practice location

29201 Telegraph Rd Ste 460
Southfield, MI 48034-7604

Mailing address

29201 Telegraph Rd Ste 460
Southfield, MI 48034-7604
Phone (248) 450-3507

Other practice location 1

15121 W McNichols Rd
Detroit, MI 48235-2624
Phone (313) 273-7580

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
I20090428000300 MI Practitioner - Internal Medicine 3173671302 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Detroit Recovery ProjectGroup PAC ID 1850716226, 9 clinicians
Sacred Heart Medical Centre PCGroup PAC ID 5597668947, 13 clinicians

Practice addresses (Care Compare)

1145 W Grand Blvd
Detroit, MI 48208-2336
Phone (313) 324-8900

22711 Grand River Ave
Suite 100
Detroit, MI 48219-3113
Phone (313) 221-9189

Hospital & facility affiliations

  • Affiliated Home Health Care, LLC Home health agency, Farmington Hills, MI, CCN 239144
  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Harper University Hospital Hospital, Detroit, MI, CCN 230104
  • Rehabilitation Institute of Michigan Inpatient rehabilitation facility, Detroit, MI, CCN 233027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Detroit Recovery Project CurrentSince Nov 3, 2020 Accepting new patients
Kamran F. Sheikh MD PC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
VHS Physicians of Michigan Internal Medicine CurrentSince Dec 2, 2018 Accepting new patients
Detroit Recovery Project PastSince Nov 3, 2020 Accepting new patients
Halo Tele-Joy PLLC Internal Medicine Past Accepting new patients

Locations

22711 Grand River Ave
#100
Detroit, MI 48219
Phone (313) 221-9189

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

1121 E McNichols Rd
Detroit, MI 48203
Phone (313) 365-3100

1145 W Grand Blvd
Detroit, MI 48208
Phone (313) 324-8900

22711 Grand River Ave
Ste 100
Detroit, MI 48219
Phone (313) 221-9189

29201 Telegraph Rd
Ste 460
Southfield, MI 48034
Phone (248) 206-7511

29201 Telegraph Rd
Ste 404
Southfield, MI 48034
Phone (248) 355-0880

Interoperability endpoints

  • Direct secure messaging: david.williams.1@24172.direct.athenahealth.com
  • Direct secure messaging: david.williams.p1@direct.recovery4detroit.nextgenshare.com

Organizations & group practices 6

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 5

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1710022017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 460",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347604",
            "telephone_number": "248-450-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 460",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347604",
            "telephone_number": "248-450-3507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15121 W McNichols Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482352624",
            "country_code": "US",
            "telephone_number": "313-273-7580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301044581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.