Active NPI
Raul Hector Torres III, D.O
- Family Medicine Physician
- Niles, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101020575
- Practice address
- 4 Longmeadow Village Dr
Niles, MI 49120-7809 - Phone
- (269) 684-6000
- Fax
- (269) 684-1388
- NPI assigned
- Jun 3, 2013
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101020575 | MI | Primary |
Addresses
Primary practice location
4 Longmeadow Village Dr
Niles, MI 49120-7809
Mailing address
435 Shamrock Cir
Saint Joseph, MI 49085-9500
Phone (701) 740-9252
Other practice location 1
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 982-4941
Other practice location 2
300 2nd Ave NE
Jamestown, ND 58401-3373
Phone (701) 251-6000
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
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4 Longmeadow Village Dr
Suite 2
Niles, MI 49120-7809
Phone (269) 684-6000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101020575 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Family Medicine | Current | Accepting new patients |
| Lakeland Community Hospital Watervliet | Family Medicine | Current | Accepting new patients |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients |
Locations
6701 Paw Paw Ave
Coloma, MI 49038
Phone (269) 468-6430
4 Longmeadow Village Dr
Ste 2
Niles, MI 49120
Phone (269) 684-6000
2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200
4 Longmeadow Village Dr
Niles, MI 49120
Phone (269) 684-6000
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111
Interoperability endpoints
- rtorres1272358@epic00.corewelldirect.org
- https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
Organizations & group practices 6
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
- Saint Joseph, MI
- NPI 1538397120
-
- Rural Health Clinic/Center
- Hartford, MI
- NPI 1023114741
Family Medicine
-
- Rural Health Clinic/Center
- Niles, MI
- NPI 1538592753
-
- Rural Health Clinic/Center
- Coloma, MI
- NPI 1083710701
Family Medicine
-
- Rural Health Clinic/Center
- Dowagiac, MI
- NPI 1184467607
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1982041620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 SHAMROCK CIR",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859500",
"telephone_number": "701-740-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 LONGMEADOW VILLAGE DR",
"city": "NILES",
"state": "MI",
"postal_code": "491207809",
"telephone_number": "269-684-6000",
"fax_number": "269-684-1388"
}
],
"practiceLocations": [
{
"address_1": "1234 Napier Ave",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MI",
"postal_code": "490852112",
"country_code": "US",
"telephone_number": "269-982-4941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 2nd Ave NE",
"address_purpose": "LOCATION",
"city": "Jamestown",
"state": "ND",
"postal_code": "584013373",
"country_code": "US",
"telephone_number": "701-251-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TORRES",
"first_name": "RAUL",
"middle_name": "HECTOR",
"name_suffix": "III",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-03",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101020575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.
- 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.