DR. WILLIAM T. CORRELL (D.O.) – Family Medicine Physician, NPI 1154371581
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for DR. WILLIAM T. CORRELL (D.O.)
2332 Alpine Ave NW
Grand Rapids, MI 495441955
Phone: (616) 391-6220
Fax: (616) 391-6218
Type: Location
5215 HOLY CROSS PKWY
MISHAWAKA, IN 465451469
Phone: (574) 335-8707
Fax: (574) 335-0074
Type: Mailing
1919 LAKE AVE STE 106
PLYMOUTH, IN 465637830
Phone: (574) 335-5220
Fax: (574) 335-0859
Type: Location
707 CEDAR ST
SOUTH BEND, IN 466172054
Phone:
Type: Mailing
2332, Alpine Avenue Northwest, Walker, Kent County, Michigan, 49544, United States
GRAND RAPIDS, MI 495441955
Phone: (616) 391-6220
Fax: (616) 391-6218
Type: Location
Grand Rapids Post Office, Wapakoneta Road, Grand Rapids, Wood County, Ohio, 43522, United States
GRAND RAPIDS, MI 495012469
Phone: (616) 643-9303
Fax: (616) 643-9410
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-11-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040901001286 | I | Family Practice | MI | TBD |
| I20231115001998 | I | Family Practice | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 42 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 49544)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| N E U R O L O G Y | IL | |
| - | IN | |
| - | IN | |
| U R O L O G Y | FL | |
| Physician Assistant | MN | |
| Nurse Practitioner | IN |
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