WILLIAM H DUKES MD
NPI 1154322113
Family Medicine in Grand Rapids, MI

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
770 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546(616) 272-3533(616) 259-4839 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 30, 2024, Jul 16, 2024, Jun 24, 2024 (3 updates tracked since 2024).

About William H Dukes Md NPPES

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

WILLIAM H DUKES MD (NPI 1154322113) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301077302) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Holland Community Hospital, and is a graduate of Indiana University School Of Medicine (1988).

NPPES Registry Identity

NPI1154322113
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM H DUKESCredential: MD
Location Address770 KENMOOR AVE SE STE 100Grand Rapids, MI 49546-8602
Mailing Address801 Rosehill RdJackson, MI 49202-1762 · (517) 212-2008 · Fax (517) 212-9023
Fax(616) 259-4839
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1988
Enumeration DateAugust 2, 2005
Last NPPES UpdateSeptember 30, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
NPI 1154322113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301077302
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
770 KENMOOR AVE SE STE 100, Grand Rapids, MI 49546

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

William H Dukes 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 ID2860409984
PECOS Enrollment IDI20060315000325, I20251018000616
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
88 services52 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
71 services41 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
67 services64 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
47 services33 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
31 services22 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
29 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Holland Community Hospital

Acute Care Hospitals · Holland, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230072
Location602 Michigan AveHolland, MI 49423 · Ottawa County
Emergency services Birthing friendly

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Physician Assistant
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Nurse Practitioner (Adult Health)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Nurse Practitioner (Primary Care)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Nurse Practitioner (Primary Care)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546

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 William Dukes's NPI number?

The NPI number for William Dukes is 1154322113. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is William Dukes located?

William Dukes practices at 770 Kenmoor Ave SE Ste 100, Grand Rapids, MI 49546. The listed phone number is (616) 272-3533.

What is William Dukes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Dukes enrolled in Medicare?

Yes. William Dukes 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.

What insurance does William Dukes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list William Dukes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is William Dukes affiliated with any hospitals?

According to CMS data, William Dukes is affiliated with Holland Community Hospital and University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for William Dukes was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.