NPIMap

Organization Active NPI

William Beaumont Hospital

Doing business as Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
National Provider Identifier
1932396017
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
820030 Issued in MI
Legal business name
WILLIAM BEAUMONT HOSPITAL
Doing business as
Beaumont Hospital, Grosse Pointe
Corewell Health Beaumont Grosse Pointe Hospital
Practice address
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone
(313) 473-1000
NPI assigned
Oct 2, 2007
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 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 820030 MI Primary

Addresses

Primary practice location

468 Cadieux Rd
Grosse Pointe, MI 48230-1507

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00265OtherMIBLUE CROSS

Other names 2

  • Beaumont Hospital, Grosse Pointe Doing business as
  • Corewell Health Beaumont Grosse Pointe 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
O20071107000096 MI Part A Provider - Hospital 9335051093 2 other NPIs on this enrollment
Practice locations: Saint Clair Shores, MI; Lenox, MI; Grosse Pointe, MI; Grosse Pointe Farms, MI
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 1932396017. Details of each certification follow.

Hospital certification: CCN 230089

Legal name
WILLIAM BEAUMONT HOSPITAL
Doing business as
COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 21, 2011
Beds
311
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
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 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Beaumont Hospital - Grosse PointeCCN 230089 · 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

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0663749Corewell Health Beaumont Grosse Pointe468 Cadieux Rd, Grosse Pointe, MI 48230AccreditationJan 2, 2027

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 18

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

View all 18

Locations (25 of 125)

1633 Fairlane Cir
Allen Park, MI 48101
Phone (800) 757-7711

1949 W 12 Mile Rd
Berkley, MI 48072
Phone (248) 547-4276

2160 Coolidge Hwy
Ste 100
Berkley, MI 48072
Phone (248) 691-4700

2624 W 11 Mile Rd
Berkley, MI 48072
Phone (248) 399-0764

35046 Woodward Ave
Ste LL10
Birmingham, MI 48009
Phone (248) 633-2040

390 Park St
Birmingham, MI 48009
Phone (248) 723-6300

888 Denison Ct
Bloomfield Hills, MI 48302
Phone (248) 454-0179

6483 Citation Dr
Clarkston, MI 48346
Phone (248) 922-3074

44879 Centre CT
Clinton TWP, MI 48038
Phone (586) 263-9646

18101 Oakwood Blvd
Ste 305
Dearborn, MI 48124

18181 Oakwood Blvd
#104
Dearborn, MI 48124
Phone (313) 593-7376

500 Renaissance Ctr
Frnt
Detroit, MI 48243
Phone (313) 473-3800

27555 Farmington Rd
Ste 105
Farmington Hills, MI 48334
Phone (249) 615-3314

16815 E Jefferson Ave
Ste L10
Grosse Pointe, MI 48230
Phone (313) 473-1975

16815 E Jefferson Ave
Ste L30
Grosse Pointe, MI 48230
Phone (313) 473-1065

16815 E Jefferson Ave
Ste Ll
Grosse Pointe, MI 48230
Phone (947) 521-2561

17000 Kercheval Ave
Ste 205
Grosse Pointe, MI 48230
Phone (313) 640-2424

17150 Waterloo St
Grosse Pointe, MI 48230
Phone (248) 691-4744

17150 Waterloo St
Fl 1
Grosse Pointe, MI 48230
Phone (313) 473-4700

17150 Waterloo St
Fl 2
Grosse Pointe, MI 48230
Phone (313) 473-4730

468 Cadieux Rd
Fl 1
Grosse Pointe, MI 48230
Phone (313) 473-6900

131 Kercheval Ave
Ste 330
Grosse Pointe Farms, MI 48236
Phone (248) 423-2481

87 Kercheval Ave
Grosse Pointe Farms, MI 48236
Phone (313) 473-1084

16815 E Jefferson Ave
Ste 120
Grosse Pointe Shores, MI 48230
Phone (586) 498-4400

1455 S Lapeer Rd
Ste 123
Lake Orion, MI 48360
Phone (248) 506-3448

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
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
Chad M Tuttle Individual Corporate OfficerChief Operating Officer May 1, 2025 100%
Corporate DirectorBoard Member Jan 1, 2026
Operational/Managerial ControlChief Operating Officer, CH May 1, 2025 100%
Mary Kosch Individual Corporate DirectorBoard Member Jan 1, 2026
Mona Makki Individual Corporate DirectorBoard Member Jan 1, 2023
Beaumont Health Organization, Southfield, MI Created for acquisition, Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest 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 Feb 1, 2022 100%
Operational/Managerial Control May 1, 2025 100%
Lamont Yoder Individual Corporate DirectorBoard Member Jan 1, 2026
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, 2025 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%

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 901

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 901

Affiliated clinicians 4,145

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

View all 4,145

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1932396017",
    "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": "468 CADIEUX RD",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301507",
            "telephone_number": "313-473-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BEAUMONT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "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": "820030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00265",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "468 Cadieux Rd",
            "city": "Grosse Pointe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482301507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Beaumont Hospital, Grosse Pointe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corewell Health Beaumont Grosse Pointe Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grosse Pointe, MI

Sources for this page

Verify at the official NPI Registry.