NORDYKE FAMILY MEDICINE
NPI 1235619065
Family Medicine in Wyandotte, MI

Q: What is Billy R Nordyke Jr Do PC's NPI number?

The NPI number for Billy R Nordyke Jr Do PC is 1235619065. It was assigned to this organization in the NPPES registry on August 21, 2018. The provider is doing business as Nordyke Family Medicine.

Q: What is Billy R Nordyke Jr Do PC's specialty?

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

Active since August 21, 2018CLIA 23D2152670 · Waiver

2201 FORD AVE, WYANDOTTE, MI 48192(734) 258-8835(734) 258-8885 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 31, 2019, Aug 21, 2018 (2 updates tracked since 2018).

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About Nordyke Family Medicine NPPES

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

NORDYKE FAMILY MEDICINE (NPI 1235619065) is a healthcare organization registered as a family medicine in Wyandotte, Michigan and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through August 13, 2028 and lists Billy Ralph Nordyke, Do/ceo, as its authorized official.

NPPES Registry Identity

NPI1235619065

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBILLY R NORDYKE JR DO PC

Location Address2201 FORD AVEWyandotte, MI 48192-2314

Mailing Address2201 Ford AveWyandotte, MI 48192-2314 · (734) 258-8835 · Fax (734) 258-8885

Phone(734) 258-8835

Fax(734) 258-8885

Organization SubpartNo

Authorized OfficialBilly Ralph NordykeDo/ceo · (734) 758-8835

Enumeration DateAugust 21, 2018

Last NPPES UpdateMay 31, 20192 updates tracked since enumeration

✔ NPI 1235619065 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 · 5101018163

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.

2201 FORD AVE, Wyandotte, MI 48192

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Other Names 1

Doing Business AsNordyke Family Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nordyke Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Nordyke Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Billy Nordyke, D.O.

Family Practice

NPI 1700817558

2201 FORD AVE
Wyandotte, MI 48192

(734) 258-8835

✔ PECOS✔ Accepts MedicareSame address

Brittany Regalado, FNP-C

Nurse Practitioner

NPI 1104557537

2201 FORD AVE
Wyandotte, MI 48192

(734) 258-8835

✔ PECOSSame address

Krista Ross, NP-C

Nurse Practitioner

NPI 1831973874

926 N PLEASANT ST
Royal Oak, MI 48067

(248) 755-9469

✔ PECOS20 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2152670

Nordyke Family Medicine · Wyandotte, MI

Active · expires Aug 13, 2028

CLIA Number23D2152670

Laboratory TypePhysician Office

Certificate Effective DateAugust 14, 2026

Certificate Expiration DateAugust 13, 2028

Laboratory DirectorBilly R. Nordyke Jr

Laboratory Phone(734) 258-8835

Laboratory LocationNordyke Family Medicine2201 Ford Avenue, Wyandotte, MI 48192

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Billy R Nordyke Jr Do PC's NPI number?

The NPI number for Billy R Nordyke Jr Do PC is 1235619065. It was assigned to this organization in the NPPES registry on August 21, 2018. The provider is doing business as Nordyke Family Medicine.

Where is Billy R Nordyke Jr Do PC located?

Billy R Nordyke Jr Do PC is located at 2201 Ford Ave, Wyandotte, MI 48192. The listed phone number is (734) 258-8835.

What is Billy R Nordyke Jr Do PC's specialty?

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

Is Billy R Nordyke Jr Do PC enrolled in Medicare?

Yes. Billy R Nordyke Jr Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Billy R Nordyke Jr Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Billy R Nordyke Jr Do PC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Billy R Nordyke Jr Do PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2152670) is associated with this NPI, valid through August 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Billy R Nordyke Jr Do PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Billy R Nordyke Jr Do PC 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.

When was this NPI record last updated?

The NPPES record for Billy R Nordyke Jr Do PC was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.