Active NPI
Michael Anderson Williams, MD
- Internal Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301041998
- Practice address
- 22255 Greenfield Rd
410
Southfield, MI 48075-3710 - Phone
- (248) 849-2850
- Fax
- (248) 849-5751
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 4301041998 | MI | Primary |
Addresses
Primary practice location
22255 Greenfield Rd
410
Southfield, MI 48075-3710
Mailing address
15990 W 9 Mile Rd
Southfield, MI 48075-4826
Phone (248) 849-4226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 327146410 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26750 Providence Pkwy
Novi, MI 48374-1211
Phone (248) 465-4782
Hospital & facility affiliations
- Henry Ford Home Health Care
- Ascension Providence Hospital, Southfield and Novi
- Henry Ford Health St John Hospital
- Henry Ford Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301041998 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Internal Medicine | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Past | Accepting new patients |
Locations
26750 Providence Pkwy
Novi, MI 48374
Phone (248) 465-4782
47601 Grand River Ave
Ste B136
Novi, MI 48374
Phone (248) 465-3940
15990 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 849-5692
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
16001 W 9 Mile Rd
Fl 4
Southfield, MI 48075
Phone (248) 424-2085
22255 Greenfield Rd
Ste 410
Southfield, MI 48075
Phone (248) 849-2850
22250 Providence Dr
Ste 301A
Southfield, MI 48075
Phone (248) 849-3254
16001 W 9 Mile Rd
Fl 5
Southfield, MI 48075
Phone (248) 380-4335
28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944
Interoperability endpoints
- mwilliams1157737@direct.hfhs.org
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.
-
- Surgery Physician
- Southfield, MI
- NPI 1942265236
-
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1922063213
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Home Health Agency
- Detroit, MI
- NPI 1932162096
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1841291325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15990 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754826",
"telephone_number": "248-849-4226",
"fax_number": "248-849-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22255 GREENFIELD RD",
"address_2": "410",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753710",
"telephone_number": "248-849-2850",
"fax_number": "248-849-5751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MICHAEL",
"middle_name": "ANDERSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301041998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "327146410",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.