BEAUMONT PROFESSIONAL SERVICES
NPI 1063461366
Internal Medicine - Cardiovascular Disease in Royal Oak, MI

Active since May 06, 2006
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 423-2454 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2021, Jul 23, 2021, Apr 5, 2021 and 2 more (5 updates tracked since 2018).

About Beaumont Professional Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAUMONT PROFESSIONAL SERVICES (NPI 1063461366) is a healthcare organization registered as a cardiovascular disease in Royal Oak, Michigan and active in the NPI registry since May 2006. The organization lists Lee Ann Odom, President Shared Services, as its authorized official.

NPPES Registry Identity

NPI1063461366
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameWILLIAM BEAUMONT HOSPITAL
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address26901 Beaumont Blvd, ComplianceSouthfield, MI 48033-3849 · (947) 522-1964
Organization SubpartYes
Authorized OfficialLee Ann OdomPresident Shared Services · (947) 522-3326
Enumeration DateMay 6, 2006
Last NPPES UpdateOctober 1, 20215 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1063461366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3601 W 13 MILE RD, Royal Oak, MI 48073

Other Names 1

Doing Business AsBeaumont Professional Services

Other Identifiers 1

Other0F36426MI · Bcbsm

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beaumont Professional Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

154

Medicare enrollment records show 154 clinicians reassign Medicare billing to Beaumont Professional Services, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 104 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 30

Family Practice38
Pediatric Medicine26
Obstetrics/Gynecology21
Internal Medicine9
Nurse Practitioner8
Geriatric Medicine6
Pulmonary Disease6
Psychiatry5
22 other specialties35

Nearest to this location (20)

See all 154
Emergency Medicine
NPI 1598922577
3601 W 13 MILE RD STE EC
Royal Oak, MI 48073
(248) 898-0575
✔ PECOSSame address
Pediatric Medicine
NPI 1457310237
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 898-5000
✔ PECOSSame address
Nurse Practitioner
NPI 1750514485
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 898-1994
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1942493838
3535 W 13 MILE RD STE 344
Royal Oak, MI 48073
(248) 551-0497
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1326230038
3535 W 13 MILE RD STE 248
Royal Oak, MI 48073
(248) 551-1515
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1144344771
3535 W 13 MILE RD STE 707
Royal Oak, MI 48073
(248) 551-0487
✔ PECOS0.1 mi
Pulmonary Disease
NPI 1356462279
3535 W 13 MILE RD STE 344
Royal Oak, MI 48073
(248) 551-0497
✔ PECOS✔ Accepts Medicare0.1 mi
Nephrology
NPI 1205999794
3535 W 13 MILE RD STE 248 BEAUMNOT CHRONIC DISEASE CLINIC
Royal Oak, MI 48073
(248) 551-1515
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1609039940
3535 W 13 MILE RD STE 329
Royal Oak, MI 48073
(248) 351-1399
✔ PECOS✔ Accepts Medicare0.1 mi
Geriatric Medicine
NPI 1902865454
3535 W 13 MILE RD STE. 108
Royal Oak, MI 48073
(248) 551-1756
✔ PECOS✔ Accepts Medicare0.1 mi
Endocrinology
NPI 1376823286
3535 W 13 MILE RD STE 707
Royal Oak, MI 48073
(248) 551-0487
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1124709548
3535 W 13 MILE RD STE 140
Royal Oak, MI 48073
(248) 551-3000
✔ PECOS✔ Accepts Medicare0.1 mi
Infectious Disease
NPI 1174582506
3535 W 13 MILE RD STE. 707
Royal Oak, MI 48073
(248) 551-0087
✔ PECOS0.1 mi
Neurology
NPI 1295900298
3535 W 13 MILE RD SUITE 302
Royal Oak, MI 48073
(248) 551-3302
✔ PECOS✔ Accepts Medicare0.1 mi
Allergy/Immunology
NPI 1922200070
3535 W 13 MILE RD STE 305
Royal Oak, MI 48073
(248) 551-3070
✔ PECOS0.1 mi
General Surgery
NPI 1730346180
3535 W 13 MILE RD STE 307
Royal Oak, MI 48073
(248) 551-2400
✔ PECOS0.1 mi
Psychiatry
NPI 1013077882
3535 W 13 MILE RD
Royal Oak, MI 48073
(248) 551-1200
✔ PECOS✔ Accepts Medicare0.1 mi
Sleep Medicine
NPI 1083877294
3535 W 13 MILE RD STE 344
Royal Oak, MI 48073
(248) 551-0497
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1154764652
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 898-5000
✔ PECOS✔ Accepts Medicare0.2 mi
Orthopedic Surgery
NPI 1730343401
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 898-5000
✔ PECOS✔ Accepts Medicare0.2 mi
See all 154 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Beaumont Hospital's NPI number?

The NPI number for William Beaumont Hospital is 1063461366. It was assigned to this organization in the NPPES registry on May 6, 2006. The provider is doing business as Beaumont Professional Services.

Where is William Beaumont Hospital located?

William Beaumont Hospital is located at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 423-2454.

What is William Beaumont Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is William Beaumont Hospital enrolled in Medicare?

Yes. William Beaumont Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through William Beaumont Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 154 clinicians in 30 Medicare specialties reassign their Medicare billing to William Beaumont Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (38), Pediatric Medicine (26) and Obstetrics/Gynecology (21). Of these, 3 practice at this address and 104 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for William Beaumont Hospital was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.