Individual provider Active NPI

William Robert Rhoades, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Adrian, MI
National Provider Identifier
1750692703
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
4301109258 Issued in MI
Practice address
1801 W Maumee St
Ste 100
Adrian, MI 49221-1291
Phone
(517) 265-6131
Fax
(517) 265-7326
NPI assigned
Jun 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301109258 MI
Retina Specialist (Ophthalmology) Physician 207WX0107X 4301109258 MI Primary

Addresses

Primary practice location

1801 W Maumee St
Ste 100
Adrian, MI 49221-1291

Mailing address

850 W North St
Ste 104
Jackson, MI 49202-3196
Phone (517) 841-3022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160519001073 MI Practitioner - Ophthalmology 5991937385 Reassigns benefits to 2 organizations
I20201005002266 OH Practitioner - Ophthalmology 5991937385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Michigan Eye Care Center PCGroup PAC ID 4486566098, 31 clinicians
DRS Ravin Birndorf and Ravin IncGroup PAC ID 2860487964, 7 clinicians

Practice addresses (Care Compare)

1600 Commerce Park Dr
Suite 100
Chelsea, MI 48118-1620
Phone (734) 475-7359

1801 W Maumee St
Suite 100
Adrian, MI 49221-1291
Phone (517) 265-6131

3000 Regency CT
Suite 100
Toledo, OH 43623-3081
Phone (800) 832-2015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301109258MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Ravin, Birndorf & Ravin, Inc. Ophthalmology CurrentSince Oct 2, 2020 Accepting new patients
Mid Michigan Eye Care Center, PC Ophthalmology CurrentSince Oct 1, 2020 Accepting new patients
Mei Operations, PLLC Ophthalmology Past Accepting new patients
Associated Retinal Consultants, PC Ophthalmology Past Accepting new patients

Locations

1801 W Maumee St
Ste 100
Adrian, MI 49221
Phone (517) 265-6131

2518 Capital Ave SW
Battle Creek, MI 49015

1600 Commerce Park Dr
Ste 100
Chelsea, MI 48118
Phone (734) 475-7359

16255 Silver Pkwy
Fenton, MI 48430
Phone (810) 629-7900

4499 Town Center Pkwy
Flint, MI 48532
Phone (810) 733-7111

8275 Holly Rd
Ste 3
Grand Blanc, MI 48439
Phone (810) 694-8400

1116 W Ganson St
Jackson, MI 49202
Phone (517) 782-9436

850 W North St
#104
Jackson, MI 49202
Phone (248) 647-9790

1240 S Lapeer Rd
Ste 100A
Lake Orion, MI 48360
Phone (248) 236-9379

3390 E Jolly Rd
Lansing, MI 48910
Phone (517) 393-2020

1005 S Lapeer Rd
Lapeer, MI 48446
Phone (810) 664-5458

100 S Lynn St
Bryan, OH 43506
Phone (419) 636-0440

3000 Regency Ct
Ste 100
Toledo, OH 43623
Phone (419) 882-2020

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1750692703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W NORTH ST",
            "address_2": "STE 104",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023196",
            "telephone_number": "517-841-3022",
            "fax_number": "517-817-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W MAUMEE ST",
            "address_2": "STE 100",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211291",
            "telephone_number": "517-265-6131",
            "fax_number": "517-265-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301109258",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "4301109258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.