Individual provider Active NPI

Edmund B Paloyan, M.D.

  • Medical Oncology Physician
  • Saint Joseph, MI
National Provider Identifier
1972509081
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
4301085395 Issued in MI
Practice address
3900 Hollywood Rd
Marie Yeager Cancer Center
Saint Joseph, MI 49085-9149
Phone
(269) 428-4411
Fax
(269) 428-4422
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4301085395 MI
Medical Oncology Physician 207RX0202X 4301085395 MI Primary
Internal Medicine Physician 207R00000X 4301085395 MI

Addresses

Primary practice location

3900 Hollywood Rd
Marie Yeager Cancer Center
Saint Joseph, MI 49085-9149

Mailing address

3900 Hollywood Rd
Marie Yeager Cancer Center
Saint Joseph, MI 49085-9149
Phone (269) 428-4411

Other practice location 1

42 N Saint Joseph Ave Ste 304
Niles, MI 49120-2203
Phone (269) 428-4411

Other identifiers 2

IdentifierTypeStateIssuer
1972509081MedicaidMI
5182265MedicaidMI

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
I20050524001349 MI Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 2062492721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeland Medical PracticesGroup PAC ID 1658427042, 286 clinicians

Practice addresses (Care Compare)

3900 Hollywood Rd
Saint Joseph, MI 49085-9149
Phone (269) 983-3368

3903 Hollywood Rd
Saint Joseph, MI 49085-9149
Phone (269) 408-1100

3950 Hollywood Rd
Saint Joseph, MI 49085-9151

9623 Red Arrow Hwy
Bridgman, MI 49106-9559
Phone (269) 465-6050

9625 Red Arrow Hwy
Bridgman, MI 49106-9559
Phone (269) 465-6050

Hospital & facility affiliations

  • Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021
  • Corewell Health Watervliet Hospital Hospital, Watervliet, MI, CCN 230078

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Medical Practices Internal Medicine CurrentSince Jan 1, 2011 Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince Jan 1, 2011 Accepting new patients
Oncology Care Associates, PLLC Hematology & Oncology Past Accepting new patients
Elmhurst Memorial Oncology Services, LLC Hematology & Oncology PastSince Sep 1, 2002 Accepting new patients

Locations

42 N Saint Joseph Ave
Ste 304
Niles, MI 49120
Phone (269) 428-4411

3900 Hollywood Rd
Saint Joseph, MI 49085
Phone (269) 428-4411

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

3950 Hollywood Rd
Ste 240
Saint Joseph, MI 49085
Phone (269) 408-1852

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3900 Hollywood Rd
Ste 240
Saint Joseph, MI 49085

Interoperability endpoints

  • Direct secure messaging: epaloyan1271253@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 2

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1972509081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 HOLLYWOOD RD",
            "address_2": "MARIE YEAGER CANCER CENTER",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859149",
            "telephone_number": "269-428-4411",
            "fax_number": "269-428-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 HOLLYWOOD RD",
            "address_2": "MARIE YEAGER CANCER CENTER",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859149",
            "telephone_number": "269-428-4411",
            "fax_number": "269-428-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 N Saint Joseph Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491202203",
            "country_code": "US",
            "telephone_number": "269-428-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALOYAN",
        "first_name": "EDMUND",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301085395",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MI",
            "license": "4301085395",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301085395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972509081",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5182265",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.