NPIMap

Organization Active NPI

William Beaumont Hospital

Doing business as Beaumont Hospital, Troy

  • Rehabilitation Hospital Unit
  • Troy, MI
National Provider Identifier
1679837207
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
630160 Issued in MI
Legal business name
WILLIAM BEAUMONT HOSPITAL
Doing business as
Beaumont Hospital, Troy
Corewell Health Beaumont Troy Hospital
Corewell Health Beaumont Troy Hospital Rehabilitation unit
Practice address
44201 Dequindre Rd
Troy, MI 48085-1117
Phone
(248) 964-5000
NPI assigned
Jun 28, 2012
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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
(616) 295-4264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 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
00196OtherMIBLUE CROSS OF MICHIGAN
2775401MedicaidMI

Other names 3

  • Beaumont Hospital, Troy Doing business as
  • Corewell Health Beaumont Troy Hospital Doing business as
  • Corewell Health Beaumont Troy Hospital Rehabilitation unit 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 MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121011000727 MI Part A Provider - Hospital 9335051093 Practice locations: Troy, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679837207. Details of each certification follow.

Hospital certification: CCN 23T269

Legal name
WILLIAM BEAUMONT HOSPITAL
Doing business as
COREWELL HEALTH BEAUMONT TROY HOSPITAL
Organization structure
CorporationNon-profit
Enrollment address
44201 Dequindre Rd
Rehabilitation Inpatient Unit
Troy, MI 48085-1117
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

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).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Beaumont Health SystemsCCN 23T269 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 2013

National Provider Directory

National Provider Directory
Tax ID family
Beaumont Hospitals119 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 17

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
Robert Skandalaris Individual Corporate DirectorBoard Member Jan 1, 2025
Barbara J Pilarski Individual Corporate DirectorBoard Member Jan 1, 2024
Marija J Grahovac Individual Corporate DirectorBoard Member Jan 1, 2025
Mona Makki Individual Corporate DirectorBoard Member Jan 1, 2023
Beaumont Health Organization, Southfield, MI Created for acquisition, Corporation, Non-profit 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%
Operational/Managerial ControlChief 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%
Ashok B Jain Individual Corporate DirectorBoard Member Jan 1, 2021
Robert James Welsh Individual Corporate DirectorBoard Member Jan 1, 2021
Warren E Rose Individual Corporate DirectorBoard Member Jan 1, 2022
Nancy Susick Individual Operational/Managerial ControlHospital President Oct 19, 2023 100%
Faye a Nelson Individual Corporate DirectorBoard Member Jun 16, 2022
Abedelrahim I. Asfour Individual Corporate DirectorBoard Member Jan 1, 2021
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

Owners & managing parties with NPI records 4

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 1

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.

Affiliated clinicians 10

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

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1679837207",
    "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": "2012-06-28",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "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": "616-295-4264"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MI",
            "license": "630160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MICHIGAN",
            "identifier": "00196",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2775401",
            "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"
        },
        {
            "organization_name": "Corewell Health Beaumont Troy Hospital Rehabilitation unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.