Individual provider Active NPI

Ahmed Michael Beydoun, MD

  • Family Medicine Physician
  • Troy, MI
National Provider Identifier
1558983692
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301510163 Issued in MI
Practice address
38865 Dequindre Rd Ste 106
Troy, MI 48083-6812
Phone
(248) 720-2626
Fax
(248) 720-2620
NPI assigned
May 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301510163 MI Primary

Addresses

Primary practice location

38865 Dequindre Rd Ste 106
Troy, MI 48083-6812

Mailing address

38865 Dequindre Rd Ste 106
Troy, MI 48083-6812
Phone (248) 720-2626

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
I20240520003045 MI Practitioner - Family Practice 3971924127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

38865 Dequindre Rd
Suite 106
Troy, MI 48083-6812
Phone (248) 720-2626

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.72 of 100Reported as apm
Quality
87.24
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory, LLC CurrentSince Sep 30, 2024 Accepting new patients
Oakwood Ambulatory LLC Family Medicine CurrentSince Sep 30, 2024 Accepting new patients
Flushing Urgent Care PLC Family Medicine CurrentSince May 1, 2024 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

6020 W Pierson Rd
Flushing, MI 48433
Phone (810) 407-7989

8143 S Saginaw St
Grand Blanc, MI 48439
Phone (810) 214-4942

38865 Dequindre Rd
Ste 106
Troy, MI 48083
Phone (248) 720-2626

Interoperability endpoints

  • Direct secure messaging: abeydoun2685911@epic00.corewelldirect.org

Organizations & group practices 4

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 3

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": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1558983692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38865 DEQUINDRE RD STE 106",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836812",
            "telephone_number": "248-720-2626",
            "fax_number": "248-720-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38865 DEQUINDRE RD STE 106",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836812",
            "telephone_number": "248-720-2626",
            "fax_number": "248-720-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYDOUN",
        "first_name": "AHMED",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-12",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301510163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.