Individual provider Active NPI

William McDevitt, D.O.

  • Urology Physician
  • Waterford, MI
National Provider Identifier
1972672228
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
WM007547 Issued in MI
Practice address
3145 Dixie Hwy
Waterford, MI 48328-1602
Phone
(248) 674-8530
Fax
(248) 674-2198
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X WM007547 MI Primary

Addresses

Primary practice location

3145 Dixie Hwy
Waterford, MI 48328-1602

Mailing address

3145 Dixie Hwy
Waterford, MI 48328-1602
Phone (248) 674-8530

Other identifiers 1

IdentifierTypeStateIssuer
1764655MedicaidMI

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
I20100305000465 MI Practitioner - Urology 4385694793 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WM007547MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland County Urologists PC Urology CurrentSince Jan 24, 2005 Accepting new patients

Locations

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

3145 Dixie Hwy
Waterford, MI 48328
Phone (248) 674-8530

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972672228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 DIXIE HWY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281602",
            "telephone_number": "248-674-8530",
            "fax_number": "248-674-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 DIXIE HWY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281602",
            "telephone_number": "248-674-8530",
            "fax_number": "248-674-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDEVITT",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "WM007547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1764655",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.