NPIMap

Organization Active NPI

William Beaumont Hospital

Doing business as Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
National Provider Identifier
1306825997
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
630160 Issued in MI
Legal business name
WILLIAM BEAUMONT HOSPITAL
Doing business as
Beaumont Hospital, Troy
Corewell Health Beaumont Troy Hospital
Practice address
44201 Dequindre Rd
Troy, MI 48085-1117
Phone
(248) 964-5000
NPI assigned
Jan 11, 2006
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Matthew E Cox
Title
Chief Financial Officer
Phone
(947) 522-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 630160 MI Primary

Addresses

Primary practice location

44201 Dequindre Rd
Troy, MI 48085-1117

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849
Phone (947) 522-1963

Other identifiers 2

IdentifierTypeStateIssuer
00226OtherMIBLUE CROSS MICHIGAN
1555379MedicaidMI

Other names 2

  • Beaumont Hospital, Troy Doing business as
  • Corewell Health Beaumont Troy Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071129000109 MI Part A Provider - Hospital 9335051093 1 other NPI on this enrollment
O20071220000038 MI Part A Provider - Hospital 9335051093 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1306825997. Details of each certification follow.

Hospital certification: CCN 230269

Legal name
WILLIAM BEAUMONT HOSPITAL
Doing business as
COREWELL HEALTH BEAUMONT TROY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 1, 1977
Last certification
Sep 30, 2004
Beds
254
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
44201 Dequindre Rd
Troy, MI 48085-1117
Main/Primary Hospital Location
Hospital subgroups
Acute care

Hospital certification: CCN 230130

Legal name
WILLIAM BEAUMONT HOSPITAL
Doing business as
COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 7, 2004
Beds
1,031
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Beaumont Hospital Royal OakCCN 230130 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Hospital

Medicare Care Compare
Listed as
Beaumont Hospital, TroyCCN 230269 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
William Beaumont Hospital118 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Whitney Eckhoff Individual W-2 Managing EmployeeManager, Provider Enrollment Oct 1, 2023
W-2 Managing EmployeeManager,, Provider Enrollment Nov 5, 2024
Barbara J Pilarski Individual Corporate DirectorBoard Member Jan 1, 2024
Marija J Grahovac Individual Corporate DirectorBoard Member Jan 1, 2025
Chad M Tuttle Individual Corporate DirectorBoard Member Jan 1, 2026
Operational/Managerial ControlChief Operating Officer, CH May 1, 2025 100%
Mona Makki Individual Corporate DirectorBoard Member Jan 1, 2023
Beaumont Health Organization, Southfield, MI Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2014 100%
Operational/Managerial Control Sep 1, 2014 100%
Matthew E Cox Individual Corporate OfficerChief Financial Officer Feb 1, 2022 100%
Corewell Health Organization, Grand Rapids, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%
Operational/Managerial Control May 1, 2025 100%
Lamont Yoder Individual Corporate DirectorBoard Member Jan 1, 2026
Operational/Managerial ControlPresident, Corewell Health East May 1, 2025 100%
Robert James Welsh Individual Corporate DirectorBoard Member Jan 1, 2021
Warren E Rose Individual Corporate DirectorBoard Member Jan 1, 2022
Mark D Davidoff Individual Corporate DirectorBoard Member Jan 1, 2026
Nicholas P Gates Individual Corporate DirectorBoard Member Jan 1, 2026
Nancy Susick Individual Operational/Managerial ControlHospital President Nov 1, 2023 100%
Faye a Nelson Individual Corporate DirectorBoard Member Jun 16, 2022
Shane O'Donnell Individual Corporate DirectorBoard Member Jan 1, 2024
Anthony Stallion Individual Corporate DirectorBoard Member Feb 1, 2022
Linda Little Individual Corporate DirectorBoard Member Jun 16, 2022
Debra Guido-Allen Individual Operational/Managerial ControlHospital President Jul 1, 2026 100%
Robert Skandalaris Individual Corporate DirectorBoard Member Jan 1, 2025
Mary Kosch Individual Corporate DirectorBoard Member Jan 1, 2026

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beaumont Home HealthTroy, MI, CCN 237112 Home health agency 5% Or Greater Indirect Ownership Interest (10%) Jan 1, 2019
Beaumont HospiceTroy, MI, CCN 231574 Hospice 5% Or Greater Indirect Ownership Interest (10%) Jan 1, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Beaumont Ashn, LLC

    dba Beaumont Home Health and Hospice, LLC

    • Home Health Agency
    • Troy, MI
    • NPI 1811461734

    5% Or Greater Indirect Ownership Interest

    CMS ownership
  • Beaumont Ashn, LLC

    dba Beaumont Home Health and Hospice, LLC

    • Community Based Hospice Care Agency
    • Troy, MI
    • NPI 1851865786

    5% Or Greater Indirect Ownership Interest

    CMS ownership

Facilities with the same owner 67

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 67

Practitioners & affiliated clinicians

Practitioners 130

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 130

Affiliated clinicians 4,457

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 4,457

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1306825997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851117",
            "telephone_number": "248-964-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BEAUMONT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "947-522-3333"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "630160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MICHIGAN",
            "identifier": "00226",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1555379",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "44201 Dequindre Rd",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480851117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Beaumont Hospital, Troy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beaumont Hospital, Troy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corewell Health Beaumont Troy Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.