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WILLIAM G DALLAS CRNA
NPI 1649365164
Nurse Anesthetist, Certified Registered in Mount Clemens, MI

Active since October 03, 2006Accepts Medicare Assignment
86.01/100
CMS Quality Rating
1000 HARRINGTON BLVD, MOUNT CLEMENS, MI 48043(586) 493-8747(586) 493-8741 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William G Dallas Crna NPPES

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

WILLIAM G DALLAS CRNA (NPI 1649365164) is an individual nurse anesthetist, certified registered in Mount Clemens, Michigan, licensed in Michigan (4704226096) and active in the NPI registry since October 2006. He is affiliated with Ascension Providence Hospital, Southfield And Novi, maintains a secondary practice location in Clarkston, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1649365164
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameWILLIAM G DALLASCredential: CRNA
Location Address1000 HARRINGTON BLVDMount Clemens, MI 48043
Mailing Address1000 Harrington BlvdMount Clemens, MI 48043 · (586) 493-8747 · Fax (586) 493-8741
Phone(586) 493-8747
Fax(586) 493-8741
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1649365164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704226096
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1000 HARRINGTON BLVD, Mount Clemens, MI 48043
Open in Google Maps ↗

Secondary Practice Location 1

Location 16886 Sashabaw RdClarkston, MI 48348-4732 · Phone (248) 707-3112

Other Identifiers 1

Medicaid4838500MI

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

William G Dallas Crna 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 ID9638187347
PECOS Enrollment IDI20060322000292

Areas of Expertise CMS Part B claims

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.29
Improvement Activities40

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.

GLENN A DELONG DO
Emergency Medicine
1000 HARRINGTON BLVD
MT CLEMENS, MI 48043
Macomb County (586) 493-8000
ALI M. SAAD DO PC
Emergency Medicine
1000 HARRINGTON BLVD, MOUNT CLEMENS REGIONAL MEDICAL CENTER
MT CLEMENS, MI 48043
Macomb County (586) 493-8000
VICTORIA L STRUEBING CRNA
Nurse Anesthetist, Certified Registered
1000 HARRINGTON BLVD
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8747
DOROTHY M HALPERIN MD
Pathology (Anatomic Pathology & Clinical Pathology)
1000 HARRINGTON BLVD
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
STEFANIA A FAYLOR CRNA
Nurse Anesthetist, Certified Registered
1000 HARRINGTON BLVD
MT CLEMENS, MI 48043
Macomb County (586) 493-8000
RICHARD A REIDY DO
Emergency Medicine
1000 HARRINGTON BLVD
MT CLEMENS, MI 48043
Macomb County (586) 493-8000
MILAD ASFAR D.O
Emergency Medicine
1000 HARRINGTON BLVD
MT. CLEMENS, MI 48043
Macomb County (586) 493-8195
PATHOLOGY ASSOCIATES OF MT CLEMENS PC
Pathology (Anatomic Pathology & Clinical Pathology)
1000 HARRINGTON BLVD
MT CLEMENS, MI 48043
Macomb County (586) 493-8000

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 Dallas's NPI number?

The NPI number for William Dallas is 1649365164. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is William Dallas located?

William Dallas practices at 1000 Harrington Blvd, Mount Clemens, MI 48043. The listed phone number is (586) 493-8747.

What is William Dallas's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is William Dallas enrolled in Medicare?

Yes. William Dallas 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 Dallas accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list William Dallas 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 Dallas affiliated with any hospitals?

According to CMS data, William Dallas is affiliated with Ascension Providence Hospital, Southfield And Novi and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for William Dallas was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.