NPIMap

Organization Active NPI

Barbara Ann Karmanos Cancer Hospital

  • General Acute Care Hospital
  • Detroit, MI
National Provider Identifier
1316900277
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
BARBARA ANN KARMANOS CANCER HOSPITAL
Practice address
4100 John R St
Detroit, MI 48201-2013
Phone
(800) 527-6266
Fax
(313) 576-8661
NPI assigned
Apr 10, 2006
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Regina Doxtader
Title
Cfo
Phone
(248) 320-9390

Specialties & licenses 1

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

Addresses

Primary practice location

4100 John R St
Detroit, MI 48201-2013

Mailing address

4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266

Other practice location 1

1200 Medical Center Pkwy
Maumee, OH 43537-1921
Phone (567) 302-5955

Other identifiers 3

IdentifierTypeStateIssuer
00163OtherMIBLUECROSSFACILITYPROVIDER
304807139MedicaidMI
404830315MedicaidMI

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050111000191 MI Part A Provider - Hospital 6800844499 Practice locations: Southfield, MI; Roseville, MI; Farmington Hills, MI; Detroit, MI; Dearborn, MI
O20051101000075 MI Part B Supplier - Clinic/Group Practice 6800844499 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Detroit, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316900277. Details of each certification follow.

Hospital certification: CCN 230297

Legal name
BARBARA ANN KARMANOS CANCER HOSPITAL
Doing business as
KARMANOS CANCER CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 2, 2005
Last certification
Dec 3, 2005
Beds
123
Ownership / control type
Private (for profit)
Organization structure
CorporationNon-profit
Enrollment address
4100 John R St
Detroit, MI 48201-2013
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Karmanos Cancer CenterCCN 230297 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3500 Barranca Pkwy
Ste 300
Irvine, CA 92606
Phone (949) 788-1133

4100 John R St
#5
Detroit, MI 48201

1200 Medical Center Pkwy
Maumee, OH 43537
Phone (419) 794-7720

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
Scott Hunter Individual Corporate DirectorDirector Mar 26, 2009
Brian R Gamble Individual Corporate OfficerCeo/President Mar 1, 2015
W-2 Managing EmployeeCeo/President Mar 1, 2015
Operational/Managerial ControlCeo/President Mar 1, 2015
Deborah Savoie Individual Corporate OfficerTrustee May 26, 2026
Regina Doxtader Individual Corporate OfficerCfo Feb 28, 2023
Corporate DirectorCfo Feb 28, 2023
Operational/Managerial ControlCfo Feb 28, 2023
Daniel Ret Individual Corporate DirectorDirector Jan 1, 2015
George H Yoo Individual Corporate DirectorDirector Oct 1, 2008
Kelley Lafontaine Individual Corporate OfficerTrustee May 26, 2026
Geaneen Arends Individual Corporate DirectorTrustee Feb 28, 2023
Boris Pasche Individual Corporate DirectorTrustee/Executive Official Dec 20, 2023
Michael Duhaime Individual Corporate DirectorTrustee Feb 28, 2023
Barbara Ann Karmanos Cancer Institute Organization, Detroit, MI 5% Or Greater Direct Ownership Interest Sep 20, 2004 100%
Sylvester Hester Individual Corporate DirectorTrustee Aug 1, 2024
Philip a Incarnati Individual Corporate DirectorDirector, MHCC Pres/Ceo Jan 1, 2014
David E Duprey Individual Corporate DirectorTrustee Dec 20, 2023
Shari Ferber-Kaufman Individual Corporate DirectorTrustee Aug 1, 2024
Debra Partrich Individual Corporate DirectorTrustee Jul 1, 2025
Wael Sakr Individual Corporate DirectorTrustee May 14, 2024
McLaren Health Care Corporation Organization, Grand Blanc, MI Chain home office Operational/Managerial Control Jan 1, 2014
Hussein D Aoun Individual Corporate DirectorTrustee Mar 3, 2025
Timothy M Monahan Individual Corporate DirectorDirector Jan 11, 2005
Thomas Kalas Individual Corporate DirectorTrustee Aug 1, 2024

Owners & managing parties with NPI records 5

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

Facilities with the same owner 58

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

View all 58

Practitioners & affiliated clinicians

Practitioners 39

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 39

Affiliated clinicians 324

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

View all 324

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1316900277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012013",
            "telephone_number": "800-527-6266",
            "fax_number": "313-576-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012013",
            "telephone_number": "800-527-6266",
            "fax_number": "313-576-8661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435371921",
            "country_code": "US",
            "telephone_number": "567-302-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BARBARA ANN KARMANOS CANCER HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "DOXTADER",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "248-320-9390"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSFACILITYPROVIDER",
            "identifier": "00163",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304807139",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404830315",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.