Active NPI
Michelle Renee Egan, DO
- Family Medicine Physician
- Beverly Hills, MI
National Provider Identifier
1689136152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101026823
- Practice address
- 17392 W 13 Mile Rd
Beverly Hills, MI 48025-5438 - Phone
- (248) 646-8166
- Fax
- (248) 646-8176
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Podiatrist
- Westland, MI
- NPI 1013157361
-
- Physician Assistant
- Royal Oak, MI
- NPI 1164471983
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oakwood Ambulatory LLC
Practice addresses (Care Compare)
17392 W 13 Mile Rd
Corewell Health Internal Medicine
Beverly Hills, MI 48025-5438
Phone (248) 646-8166
201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065
Hospital & facility affiliations
- Beaumont Home Health
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital - Farmington Hills
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220912000733 | MI | Practitioner - Family Practice | 1456688720 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Ambulatory LLC | Family Medicine | Current | Accepting new patients |
| Oakwood Ambulatory, LLC | Current | Accepting new patients | |
| William Beaumont Hospital | Past | Accepting new patients |
Locations
201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065
17392 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 258-8740
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
Interoperability endpoints
- megan1232356@epic00.shdirect.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101026823 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
17392 W 13 Mile Rd
Beverly Hills, MI 48025-5438
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1865
Other practice location 1
36500 S Gratiot Ave
Clinton Twp, MI 48035-1772
Phone (586) 493-3727
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | megan4563298@direct.beaumont.edu |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 2, 2022.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1689136152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849",
"telephone_number": "947-522-1865",
"fax_number": "947-522-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17392 W 13 MILE RD",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480255438",
"telephone_number": "248-646-8166",
"fax_number": "248-646-8176"
}
],
"practiceLocations": [
{
"address_1": "36500 S Gratiot Ave",
"address_purpose": "LOCATION",
"city": "Clinton Twp",
"state": "MI",
"postal_code": "480351772",
"country_code": "US",
"telephone_number": "586-493-3727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGAN",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101026823",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "megan4563298@direct.beaumont.edu",
"affiliation": "N",
"address_1": "17392 W 13 Mile Rd",
"city": "Beverly Hills",
"state": "MI",
"country_code": "US",
"postal_code": "480255438",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Beverly Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.