LARRY WILE
NPI 1679683635
Family Medicine in Portage, MI
About Larry Wile NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARRY WILE (NPI 1679683635) is an individual family medicine provider in Portage, Michigan, licensed in Michigan (4301058485) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portage.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Larry Wile is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Larry Wile reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portage, MI 49024
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Ascension Medical Group Promed
- 465 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Larry Wile's NPI number?
The NPI number for Larry Wile is 1679683635. It was assigned to this individual provider in the NPPES registry on August 30, 2006.
Where is Larry Wile located?
Larry Wile practices at 2700 E Centre Ave, Portage, MI 49002. The listed phone number is (269) 286-7050.
What is Larry Wile's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Larry Wile enrolled in Medicare?
Yes. Larry Wile is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Larry Wile's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Larry Wile reassigns Medicare benefits to Beacon Medical Group Michigan Inc (Portage, MI). The 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 Larry Wile's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Larry Wile accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Larry Wile 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 Larry Wile was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Larry Wile · NPI 1679683635
Family Medicine physician in Portage, Michigan. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1679683635 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301058485 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2700 E CENTRE AVE, Portage, MI 49002-5500
- **Phone:** (269) 286-7050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Beacon Medical Group Michigan Inc (NPI 1497709869, Portage, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1679683635) · Data from the CMS NPPES public registry.