Beaumont Medical Group- Specialty Services
Family Medicine in Dearborn, MI. Organization (NPI-2).
NPI number1295523959
StatusActive
Last updated in NPPESApr 30, 2025
Details
- NPI
- 1295523959
- Entity type
- Organization (NPI-2)
- Legal business name
- Beaumont Medical Group- Specialty Services
- Organization subpart
- No
- Enumeration date
- Apr 30, 2025
- Certification date
- Apr 22, 2025
- Last updated
- Apr 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
4700 Shaefer RdDearborn, MI 48126
Phone 616-486-6790
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Authorized official
Matthew E Cox
Cfo
6162954264
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine Physician providers in Dearborn, MI
- Access IpaNPI 1760682371
- Adhamsayed-Ali,md,pc.NPI 1881763027
- Al Hikmah Family Practice Clinic PLLCNPI 1063065498
- Saleh Al-Ameen, M.DNPI 1265829873
- Alaa Hussein Ali MD PCNPI 1194029793
- Alenzi MD PCNPI 1417478017
- Salah Abbas Alenzi, M.D.NPI 1194796185
- Ali A Fadel MD PCNPI 1982635561
- Nour Alkhoudr, MDNPI 1902556764
- Ananda Medical Clinic And Healing Center PlcNPI 1225061419
All 113 Family Medicine Physician providers in Dearborn · All 7,276 providers in Dearborn
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.