Active NPI
Douglas James Coles, MD
- Family Medicine Physician
- Frankfort, MI
National Provider Identifier
1992806285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 048430
- Practice address
- 917 Main Street
Frankfort, MI 49635 - Phone
- (231) 352-7103
- Fax
- (231) 352-7105
- NPI assigned
- Sep 26, 2006
- 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 | 048430 | MI | Primary |
Addresses
Primary practice location
917 Main Street
Frankfort, MI 49635
Mailing address
917 Main Street
Frankfort, MI 49635
Phone (231) 352-7103
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1684189 | Medicaid | MI | |
| 0801000192 | Other | BCBS | |
| 1432622 | Other | MI | VIA EMPIRE ACCT # |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041101000017 | MI | Practitioner - Family Practice | 7618939828 | Practice locations: Frankfort, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048430 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manitou Medical Center | Family Medicine | Past | Accepting new patients |
| Betsie Bay Medical Center | Family Medicine | Past | Accepting new patients |
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": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992806285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 MAIN STREET",
"city": "FRANKFORT",
"state": "MI",
"postal_code": "49635",
"telephone_number": "231-352-7103",
"fax_number": "231-352-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 MAIN STREET",
"city": "FRANKFORT",
"state": "MI",
"postal_code": "49635",
"telephone_number": "231-352-7103",
"fax_number": "231-352-7105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLES",
"first_name": "DOUGLAS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "048430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1684189",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0801000192",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIA EMPIRE ACCT #",
"identifier": "1432622",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.