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DR. TONI-KAYE MCDOUGALL MD
NPI 1104567163
Emergency Medicine in Southfield, MI

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
16001 W 9 MILE RD, SOUTHFIELD, MI 48075(248) 849-2407 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2025, Apr 5, 2022 (2 updates tracked since 2022).

About Dr. Toni-kaye Mcdougall Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TONI-KAYE MCDOUGALL MD (NPI 1104567163) is an individual emergency medicine provider in Southfield, Michigan, licensed in Illinois (036175487) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Olympia & Chicago Heights, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104567163
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. TONI-KAYE MCDOUGALLCredential: MD
Location Address16001 W 9 MILE RDSouthfield, MI 48075-4818
Mailing Address16001 W 9 Mile RdSouthfield, MI 48075-4818
Phone(248) 849-2407
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1104567163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036175487
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
16001 W 9 MILE RD, Southfield, MI 48075
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Toni-kaye Mcdougall Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840708400
PECOS Enrollment IDI20250805000613, I20260211003315
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Toni-kaye Mcdougall reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vituity-Michigan Health Services PC
89 mi
Emergency Medicine
200 N MADISON ST
Marshall, MI 49068
  • Reassigned Medicare billing, Michigan enrollment
  • 81 clinicians in this Medicare group
NPI 1962223545 (269) 789-7125
Cepamerica Illinois LLP
229 mi
Emergency Medicine
2900 N LAKE SHORE DR
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
NPI 1134677370 (773) 665-3000
Baptist Health Medical Group Inc
297 mi
Rural Health
6 LINVILLE DR
Paris, KY 40361
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,441 clinicians in this Medicare group
NPI 1538865399 (859) 987-3710
Oldham County Emergency Physicians, LLC
303 mi
Emergency Medicine
1025 NEW MOODY LN
La Grange, KY 40031
  • Reassigned Medicare billing, Kentucky enrollment
  • 77 clinicians in this Medicare group
NPI 1508726035 (502) 222-5388

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Franciscan Health Olympia & Chicago Heights

Acute Care Hospitals · Olympia Fields, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140172
Location20201 S Crawford AvenueOlympia Fields, IL 60461 · Cook County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN ARIE KROLL M.D.
Anesthesiology
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3000
HENRY FORD HEALTH PROVIDENCE HOSPITAL
Pediatrics (Neonatal-Perinatal Medicine)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3000
MARY LYNN MEISEL CRNA
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-5806
MS. JESSICA L BEACOME ACNP
Nurse Practitioner (Acute Care)
16001 W 9 MILE RD, 101 FISCHER CENTER
SOUTHFIELD, MI 48075
Oakland County (248) 849-8716
TRACY CHASE GROVES CRNA
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-5806
TERESEA ANN ZARZA NP
Nurse Practitioner (Adult Health)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-2528
DR. LINDSAY ANNE RICHMOND-PRUNEAU M.D.
Emergency Medicine
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3000
NICOLE NOEL SILVESTRI NP
Nurse Practitioner (Family)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-5806

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Toni-kaye Mcdougall's NPI number?

The NPI number for Toni-kaye Mcdougall is 1104567163. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Toni-kaye Mcdougall located?

Toni-kaye Mcdougall practices at 16001 W 9 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 849-2407.

What is Toni-kaye Mcdougall's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Toni-kaye Mcdougall enrolled in Medicare?

Yes. Toni-kaye Mcdougall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Toni-kaye Mcdougall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni-kaye Mcdougall reassigns Medicare benefits to 4 organizations: Vituity-Michigan Health Services PC (Marshall, MI), Cepamerica Illinois LLP (Chicago, IL), Baptist Health Medical Group Inc (Paris, KY) and Oldham County Emergency Physicians, LLC (La Grange, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Toni-kaye Mcdougall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Toni-kaye Mcdougall affiliated with any hospitals?

According to CMS data, Toni-kaye Mcdougall is affiliated with Franciscan Health Olympia & Chicago Heights and Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Toni-kaye Mcdougall was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.