Individual provider Active NPI

Megan Womble, D.O.

  • Surgery Physician
  • Royal Oak, MI
National Provider Identifier
1235576265
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101025388 Issued in MI
Practice address
4949 Coolidge Hwy # B
Royal Oak, MI 48073-1026
Phone
(248) 551-7500
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101025388 MI Primary

Addresses

Primary practice location

4949 Coolidge Hwy # B
Royal Oak, MI 48073-1026

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1865

Other practice location 1

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7795

Other practice location 2

4949 Coolidge Hwy # G
Royal Oak, MI 48073-1026
Phone (248) 655-3147

Other practice location 3

16815 E Jefferson Ave Ste L20
Grosse Pointe, MI 48230-1923
Phone (313) 473-1968

Other practice location 4

15959 Hall Rd Ste 203
Macomb, MI 48044-5366
Phone (586) 416-6216

Other identifiers 1

IdentifierTypeStateIssuer
103521327MedicaidPA

Other names 1

  • Megan Tasker Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mtasker1441749@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200423001543 MI Practitioner - General Surgery 8527357821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

16815 E Jefferson Ave
Grosse Pointe, MI 48230-1923

28100 Grand River Ave
Farmington Hills, MI 48336-5970

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1705

4949 Coolidge Hwy
Royal Oak, MI 48073-1026
Phone (248) 655-3220

Hospital & facility affiliations

  • Affinity Home Care, LLC Home health agency, Saint Clair Shores, MI, CCN 237502
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue371
Removal of skin lesions38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Amer Alame MD PC Surgery CurrentSince May 1, 2020 Accepting new patients
Beaumont Medical Group- Specialty Services Surgery CurrentSince Jun 20, 2022 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

2035 Monroe St
Dearborn, MI 48124
Phone (313) 228-0909

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

16815 E Jefferson Ave
Ste L20
Grosse Pointe, MI 48230
Phone (313) 473-1968

4949 Coolidge Hwy
#G
Royal Oak, MI 48073
Phone (248) 655-3147

4949 Coolidge Hwy
#B
Royal Oak, MI 48073
Phone (248) 551-7500

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

29000 Little Mack Ave
Ste A
St Clr Shores, MI 48081
Phone (586) 343-8717

29519 Harper Ave
St Clr Shores, MI 48081
Phone (313) 333-7372

Interoperability endpoints

  • Direct secure messaging: mtasker1258396@epic00.shdirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1235576265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 COOLIDGE HWY # B",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731026",
            "telephone_number": "248-551-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27351 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480713487",
            "country_code": "US",
            "telephone_number": "248-967-7795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4949 Coolidge Hwy # G",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480731026",
            "country_code": "US",
            "telephone_number": "248-655-3147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16815 E Jefferson Ave Ste L20",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe",
            "state": "MI",
            "postal_code": "482301923",
            "country_code": "US",
            "telephone_number": "313-473-1968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15959 Hall Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480445366",
            "country_code": "US",
            "telephone_number": "586-416-6216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOMBLE",
        "first_name": "MEGAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101025388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103521327",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtasker1441749@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "4949 Coolidge Hwy # B",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480731026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "TASKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.