Active NPI
Alexander Peter Bill, D.O.
- Otolaryngology/Facial Plastic Surgery Physician
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 5101020625
- Practice address
- 22631 Greater Mack Ave Ste 200
Saint Clair Shores, MI 48080 - Phone
- (586) 773-6900
- NPI assigned
- Jun 30, 2013
- Last updated
- Dec 6, 2018
- 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 |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 5101020625 | MI | Primary |
Addresses
Primary practice location
22631 Greater Mack Ave Ste 200
Saint Clair Shores, MI 48080
Mailing address
309 Northbound Gratiot Ave
Mount Clemens, MI 48043-5748
Phone (586) 463-5831
Other practice location 1
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8000
Other practice location 2
309 Northbound Gratiot Ave
Mount Clemens, MI 48043-5748
Phone (586) 463-5831
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101020625 | MI | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pointes Plastic Surgery Associates P C | Current | Accepting new patients | |
| Michael Sherbin DO PC | Current | Accepting new patients |
Locations
309 Northbound Gratiot Ave
Mount Clemens, MI 48043
Phone (586) 463-5831
22631 Greater Mack Ave
Ste 200
St Clr Shores, MI 48080
Phone (313) 886-8900
Organizations & group practices 2
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.
-
- Facial Plastic Surgery Physician
- Mount Clemens, MI
- NPI 1255519526
-
dba George Goffas MD PC
- Plastic Surgery Physician
- Saint Clair Shores, MI
- NPI 1225217128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1932549375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 NORTHBOUND GRATIOT AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480435748",
"telephone_number": "586-463-5831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22631 GREATER MACK AVE STE 200",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "48080",
"telephone_number": "586-773-6900"
}
],
"practiceLocations": [
{
"address_1": "1000 Harrington St",
"address_purpose": "LOCATION",
"city": "Mount Clemens",
"state": "MI",
"postal_code": "480432920",
"country_code": "US",
"telephone_number": "586-493-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 Northbound Gratiot Ave",
"address_purpose": "LOCATION",
"city": "Mount Clemens",
"state": "MI",
"postal_code": "480435748",
"country_code": "US",
"telephone_number": "586-463-5831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BILL",
"first_name": "ALEXANDER",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-30",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "MI",
"license": "5101020625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.