Organization Active NPI

Biomatrix Orthopedics LLC

  • Durable Medical Equipment & Medical Supplies
  • Troy, MI
National Provider Identifier
1144210378
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BIOMATRIX ORTHOPEDICS LLC
Practice address
1116 E. Big Beaver Rd.
Troy, MI 48083
Phone
(586) 773-1400
Fax
(586) 773-6062
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jon Christopher Williams
Title
Managing Partner
Phone
(248) 470-5486

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MI Primary
Prosthetic/Orthotic Supplier 335E00000X C26313 MI
Prosthetic/Orthotic Supplier 335E00000X CO002312 MI

Addresses

Primary practice location

1116 E. Big Beaver Rd.
Troy, MI 48083

Mailing address

1116 E. Big Beaver Rd.
Troy, MI 48083
Phone (586) 773-1400

Other identifiers 1

IdentifierTypeStateIssuer
OH71514OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930068832 MI DME Supplier - Medical Supply Company With Orthotic Personnel 5496956526 Practice locations: Troy, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Biomatrix Orthopedics LLC1116 E Big Beaver Rd, Troy, MI 48083-1934(586) 773-1400 Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|Pneumatic Compression Devices and/or Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Ca… Accepts assignmentParticipating since Oct 14, 2005

National Provider Directory

National Provider Directory

Locations

1116 E Big Beaver Rd
Troy, MI 48083
Phone (586) 773-1400

1174 E Big Beaver Rd
Troy, MI 48083
Phone (248) 526-0809

14747 Frazho Rd
Warren, MI 48089
Phone (586) 773-1400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1144210378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 E. BIG BEAVER RD.",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48083",
            "telephone_number": "586-773-1400",
            "fax_number": "586-773-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 E. BIG BEAVER RD.",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48083",
            "telephone_number": "586-773-1400",
            "fax_number": "586-773-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOMATRIX ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "248-470-5486",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "C26313",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "CO002312",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OH71514",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.