Individual provider Active NPI

Katie Tausch, M.D.

  • Emergency Medicine Physician
  • Troy, MI
National Provider Identifier
1932558830
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301117517 Issued in MI
Practice address
44201 Dequindre Rd Ste Ec
Troy, MI 48085-1117
Phone
(248) 964-5111
NPI assigned
Jun 10, 2016
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301109384 MI
Emergency Medicine Physician 207P00000X 4301117517 MI Primary

Addresses

Primary practice location

44201 Dequindre Rd Ste Ec
Troy, MI 48085-1117

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1863

Other practice location 1

3690 Tyler Ave
Berkley, MI 48072-3442
Phone (989) 615-7941

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ktausch2857241@direct.beaumont.edu

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
I20190509000492 MI Practitioner - Emergency Medicine 9537450812 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Human Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group Hospital Based ServicesGroup PAC ID 3072875889, 575 clinicians

Practice addresses (Care Compare)

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187

44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301109384MIMDEmergency Medicine Physician
4301117517MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Branch Regional Medical Center Current Accepting new patients
Mymichigan Medical Center Alma Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Mymichigan Medical Center Clare Emergency Medicine CurrentSince Sep 23, 2023 Accepting new patients
Sturgis Hospital, Inc. CurrentSince Feb 28, 2024 Accepting new patients
Sturgis Hospital, Inc. CurrentSince Feb 28, 2024 Accepting new patients
Mymichigan Medical Center Alpena Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Jul 1, 2019 Accepting new patients
Mymichigan Medical Center West Branch Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jul 1, 2019 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Sep 23, 2023 Accepting new patients
Sturgis Hospital, Inc. Current Accepting new patients
Mymichigan Medical Center Clare Current Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Jul 1, 2019 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Sep 22, 2021 Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4851 E Pickard St
Ste 1000
Mt Pleasant, MI 48858
Phone (989) 956-9069

3601 W 13 Mile Rd
Royal Oak, MI 48073

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

44201 Dequindre Rd
Ste Ec
Troy, MI 48085
Phone (248) 259-3088

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Interoperability endpoints

  • Direct secure messaging: ktausch1258432@epic00.shdirect.org
  • Direct secure messaging: ktausch2857241@direct.beaumont.edu
  • Direct secure messaging: ktausch83124@mymichiganhealth.midirect.net

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 1

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": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1932558830",
    "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": "947-522-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE RD STE EC",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851117",
            "telephone_number": "248-964-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3690 Tyler Ave",
            "address_purpose": "LOCATION",
            "city": "Berkley",
            "state": "MI",
            "postal_code": "480723442",
            "country_code": "US",
            "telephone_number": "989-615-7941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAUSCH",
        "first_name": "KATIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301109384",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301117517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktausch2857241@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "44201 Dequindre Rd Ste Ec",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480851117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.