WILLIAM G DALLAS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1649365164

WILLIAM G DALLAS (CRNA) is a healthcare provider. based in Clarkston, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704226096 (MI). The NPI Number for WILLIAM G DALLAS (CRNA) is 1649365164

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM G DALLAS (CRNA)
NPI
1649365164
Phone
(248) 707-3112
Address
6886 Sashabaw Rd
Enumeration Date
3 October 2006
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3133434000
Graduation Year
2005 (21 years ago)
PAC ID
9638187347
Group Practice PAC ID
3173424082
Professional Enrollment ID
I20060322000292
Address ID
MI482362148DE22101RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

Provider Addresses for WILLIAM G DALLAS (CRNA)

  • 6886 Sashabaw Rd

    Clarkston, MI 483484732

    Phone: (248) 707-3112

    Type: Location

  • 1000 HARRINGTON BLVD

    MOUNT CLEMENS, MI 48043

    Phone: (586) 493-8747

    Fax: (586) 493-8741

    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: 2006-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060322000292ICertified Registered Nurse Anesthetist (Crna)MITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2323$0
01922Anesthesia for x-ray or radiation therapy2222$0
View full utilization report →

Insurance plans in this area (ZIP 48348)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173424082View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
-MI
-MI
-MI
Infectious DiseaseMI
H E M A T O L O G Y/ O N C O L O G YMO
-MI
-MI
H E M A T O L O G Y/ O N C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

Can I verify WILLIAM G DALLAS (CRNA) with an NPI only?
You can start verification with NPI 1649365164 for WILLIAM G DALLAS (CRNA), then check state licensing separately.
Is WILLIAM G DALLAS (CRNA) still practicing?
WILLIAM G DALLAS (CRNA) is currently listed as active in the public NPI registry.
What healthcare role does WILLIAM G DALLAS (CRNA) hold?
Scheduling teams often label WILLIAM G DALLAS (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is WILLIAM G DALLAS (CRNA) based?
WILLIAM G DALLAS (CRNA) is tied to Clarkston, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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