Individual provider Active NPI

William Johnston, MD

  • Urology Physician
  • Livonia, MI
National Provider Identifier
1992711030
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301081273 Issued in MI
Practice address
33014 5 Mile Rd
Livonia, MI 48154-3075
Phone
(734) 261-7401
Fax
(734) 261-7410
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036111816 IL
Urology Physician 208800000X 4301081273 MI Primary

Addresses

Primary practice location

33014 5 Mile Rd
Livonia, MI 48154-3075

Mailing address

20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3200
Phone (586) 771-4820

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
I20120423000317 MI Practitioner - Urology 8022086594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Albany Medical College of Union University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Institute of Urology PCGroup PAC ID 1052223492, 82 clinicians

Practice addresses (Care Compare)

18100 Oakwood Blvd
Suite 315
Dearborn, MI 48124-4085
Phone (313) 271-0066

19117 Allen Rd
Suite a
Brownstown TWP, MI 48183-1066
Phone (734) 676-4040

19991 Hall Rd
Suite 201
Macomb, MI 48044-4254
Phone (586) 228-0150

20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3203
Phone (586) 771-4820

2300 Genoa Business Park Dr
Suite 120
Brighton, MI 48114-7368
Phone (810) 900-3220

25500 Meadowbrook Rd
Suite 225
Novi, MI 48375-1882
Phone (248) 426-1300

29275 Northwestern Hwy
Suite 120
Southfield, MI 48034-1044
Phone 58677148202072

33014 5 Mile Rd
Livonia, MI 48154-3075
Phone (734) 261-7401

5701 Bow Pointe Dr
Suite 250
Clarkston, MI 48346-5405
Phone (248) 620-6660

Hospital & facility affiliations

  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036111816ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Institute of Urology PC Urology CurrentSince Jan 15, 2012 Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology CurrentSince Jan 15, 2012 Accepting new patients
Michigan Institute of Urology, PC Past Accepting new patients

Locations

1 William Carls Dr
Ste 210
Commerce Twp, MI 48382
Phone (248) 387-2733

18100 Oakwood Blvd
Ste 315
Dearborn, MI 48124
Phone (313) 271-0066

1637 Monroe St
Dearborn, MI 48124
Phone (313) 278-1700

620 Byron Rd
Ste 1201
Howell, MI 48843
Phone (517) 545-6000

33014 5 Mile Rd
Livonia, MI 48154
Phone (734) 261-7401

14800 Farmington Rd
Ste 103
Livonia, MI 48154
Phone (734) 261-7401

15959 Hall Rd
Ste 401
Macomb, MI 48044
Phone (586) 412-5700

25500 Meadowbrook Rd
Ste 225
Novi, MI 48375
Phone (248) 426-1300

1701 South Blvd E
Ste 340
Rochester Hills, MI 48307
Phone (248) 293-1000

3535 W 13 Mile Rd
Ste 407
Royal Oak, MI 48073
Phone (248) 551-0638

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

2128 W Jefferson Ave
Trenton, MI 48183
Phone (734) 676-4040

130 Town Center Dr
Ste 101
Troy, MI 48084
Phone (248) 740-0670

11051 Hall Rd
Ste 200
Utica, MI 48317
Phone (586) 254-5759

2300 Haggerty Rd
Ste 2000
West Bloomfield, MI 48323
Phone (248) 624-9900

Interoperability endpoints

  • Direct secure messaging: wjohnston1133610@direct.hfhs.org
  • Direct secure messaging: wjohnston45635@direct.trinity-health.org
  • Direct secure messaging: wjohnsto@direct.dmc.org

Organizations & group practices 3

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1992711030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD",
            "address_2": "SUITE 200",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813200",
            "telephone_number": "586-771-4820",
            "fax_number": "586-771-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33014 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543075",
            "telephone_number": "734-261-7401",
            "fax_number": "734-261-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036111816",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301081273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.