William Beaumont Hospital
NPI 1104040153ActiveOrganization· Pediatrics· Royal Oak, MI
Pediatrics in Royal Oak, Michigan, registered in NPPES in April 2007, part of William Beaumont Hospital. The authorized official on file is Lee Ann Odom, President Shared Services.
Overview
| NPI | 1104040153 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | William Beaumont Hospital |
| NPI issued | Apr 12, 2007 |
| Last updated in NPPES | Oct 1, 2021 |
| Certified by provider | Oct 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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