Individual provider Active NPI

William P Prechel, D.O.

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1912903139
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101006899 Issued in MI
Practice address
16551 W Warren Ave
Detroit, MI 48228-3706
Phone
(313) 584-3624
Fax
(313) 584-8060
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101006899 MI Primary

Addresses

Primary practice location

16551 W Warren Ave
Detroit, MI 48228-3706

Mailing address

1735 Golfview Dr
Dearborn, MI 48128-1443
Phone (313) 584-3624

Other identifiers 2

IdentifierTypeStateIssuer
5821071OtherMIBLUE CROSS BLUE SHIELD MI
1294700MedicaidMI

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
I20080812000374 MI Practitioner - Family Practice 4789759697

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1912903139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 GOLFVIEW DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281443",
            "telephone_number": "313-584-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16551 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283706",
            "telephone_number": "313-584-3624",
            "fax_number": "313-584-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRECHEL",
        "first_name": "WILLIAM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101006899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "5821071",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1294700",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.