Active NPI
William M Rudy, D.O.
- Internal Medicine Physician
- Berkley, MI
National Provider Identifier
1790797207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101007799
- Practice address
- 2635 Coolidge Hwy
Berkley, MI 48072-1554 - Phone
- (248) 541-2512
- Fax
- (248) 541-0232
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101007799 | MI | Primary |
Addresses
Primary practice location
2635 Coolidge Hwy
Berkley, MI 48072-1554
Mailing address
2635 Coolidge Hwy
Berkley, MI 48072-1554
Phone (248) 541-2512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2832956 | Medicaid | MI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100219000420 | MI | Practitioner - Internal Medicine | 9032106794 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Progressive Health Care PCPremier Therapy Centers, Inc
Practice addresses (Care Compare)
2635 Coolidge Hwy
Berkley, MI 48072-1554
Phone (248) 541-2512
33010 Northwestern Hwy
West Bloomfield, MI 48322-3634
Hospital & facility affiliations
- Beaumont Home Health
- Heart to Heart Hospice of Detroit, LLC
- Beaumont Hospital - Farmington Hills
- Beaumont Hospital Royal Oak
- Ascension Providence Hospital, Southfield and Novi
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101007799 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Health Care, P.C. | Internal Medicine | Current | Accepting new patients |
| Botsford General Hospital | Past | Accepting new patients |
Locations
2635 Coolidge Hwy
Berkley, MI 48072
Phone (248) 541-2512
29911 6 Mile Rd
Livonia, MI 48152
Phone (734) 513-1600
22021 Ecorse Rd
Taylor, MI 48180
Phone (313) 291-4444
Interoperability endpoints
- wrudy1149743@direct.hfhs.org
- william.rudy@839051433279492.direct.elationemr.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Taylor, MI
- NPI 1285978528
Internal Medicine, MI
-
- Physical Therapy Clinic/Center
- West Bloomfield, MI
- NPI 1962512202
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
-
- Community Based Hospice Care Agency
- Bingham Farms, MI
- NPI 1831485697
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790797207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 COOLIDGE HWY",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721554",
"telephone_number": "248-541-2512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 COOLIDGE HWY",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721554",
"telephone_number": "248-541-2512",
"fax_number": "248-541-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDY",
"first_name": "WILLIAM",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101007799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2832956",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.