William G. Dallas, CRNA
NPI 1649365164ActiveIndividual· Nurse Anesthetist, Certified Registered· Mount Clemens, MI
Nurse Anesthetist, Certified Registered (CRNA) with Henry Ford Health Providence Hospital and 2 other groups, practicing in Mount Clemens, Michigan. Medicare paid $14,623 for services to 147 patients in 2024. Lists Ascension Providence Hospital, Southfield and Novi and 1 other hospital as hospital affiliations.
Overview
| NPI | 1649365164 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Jul 9, 2025 |
| Certified by provider | Jul 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 4704226096 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 147 |
|---|---|
| Services billed | 150 across 49 procedure codes |
| Paid by Medicare | $14,623 |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Henry Ford Health Providence HospitalNovi, MI · 375 clinicians
- Henry Ford Health St. John HospitalDetroit, MI · 348 clinicians
- Pinnacle Anesthesia PLLCRochester Hills, MI · 37 clinicians
Hospital affiliations
- Ascension Providence Hospital, Southfield and NoviSouthfield, MI
- Henry Ford Health St John HospitalDetroit, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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