Individual provider Active NPI

William M Kohen, M.D.

  • Orthopaedic Surgery Physician
  • Waterford, MI
National Provider Identifier
1760532808
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
WK035329 Issued in MI
Practice address
4800 Highland Rd
Waterford, MI 48328-1176
Phone
(248) 673-0500
Fax
(248) 673-6077
NPI assigned
Jan 11, 2007
Last updated
Aug 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X WK035329 MI Primary

Addresses

Primary practice location

4800 Highland Rd
Waterford, MI 48328-1176

Mailing address

4800 Highland Rd
Waterford, MI 48328-1176
Phone (248) 673-0500

Other identifiers 3

IdentifierTypeStateIssuer
0F37553OtherMIBLUE CROSS BLUE SHIELD MI
2100838MedicaidMI
0F32915OtherMIBCBS DURABLE MEDICAL SUPPLIER #

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
I20050302000385 MI Practitioner - Orthopedic Surgery 2365495330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Orthopedics PCGroup PAC ID 5294788261, 6 clinicians

Practice addresses (Care Compare)

4800 Highland Rd
Waterford, MI 48328-1176
Phone (248) 673-0500

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WK035329MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Orthopedics, PC Orthopaedic Surgery Current Accepting new patients
General Orthopedics, PC Orthopaedic Surgery CurrentSince Oct 1, 1997 Accepting new patients
Jeffrey H. Declaire M.D., P.C. Orthopaedic Surgery Past Accepting new patients

Locations

4800 Highland Rd
Waterford, MI 48328
Phone (248) 673-0500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1760532808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281176",
            "telephone_number": "248-673-0500",
            "fax_number": "248-673-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281176",
            "telephone_number": "248-673-0500",
            "fax_number": "248-673-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHEN",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "WK035329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "0F37553",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100838",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DURABLE MEDICAL SUPPLIER #",
            "identifier": "0F32915",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.