Lloyd J. Beaudry, D.O.
Individual provider Active NPI Surgery Physician · Trenton, MI
NPI 1295762136 · NPPES record last updated Oct 26, 2022
Key facts
- NPI
- 1295762136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 5101010366 (MI)
- Practice address
- 3231 West Rd
Trenton, MI 48183-2399 - Phone
- (734) 692-3500
- Fax
- (734) 692-3039
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3231 W Rd
Trenton, MI 48183-2399
Phone (734) 692-3500
Hospital & facility affiliations
- Corewell Health Trenton Hospital
- Beaumont Hospital - Taylor
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 163 |
| Hernia repair (minimally invasive) | 25 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 70 |
| Melanoma (skin cancer) excision | 13 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101101000884 | MI | Practitioner - General Surgery | 8022202357 | Practice locations: Trenton, MI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- lbeaudry59481@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101010366 | MI | Yes |
Addresses
Primary practice location
3231 West Rd
Trenton, MI 48183-2399
Mailing address
3231 West Rd
Trenton, MI 48183-2399
Phone (734) 692-3500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2961846 | Medicaid | MI | |
| 5824683 | Other | MI | MEDICARE PTAN |
Other providers in Trenton, MI
- Michelle M Bauer
- John C Baumann
- Faith Renee Baxter
- Bayview Pharmacy Inc
- Erica Ann Beaker
- Beaumont Medical Group- Specialty Services
- Beaumont Medical Group- Specialty Services
- Sherri Roquel Beaver
- Robert Valde Belleza
- Habeeb A Bello
All providers in Trenton, MI · Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.