OAKWOOD AMBULATORY LLC – Internal Medicine Physician, NPI 1003829441
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for OAKWOOD AMBULATORY LLC
Beaumont Hospital - Dearborn, 18101, Oakwood Boulevard, Dearborn, Wayne County, Michigan, 48124, United States
DEARBORN, MI 481244089
Phone: (313) 593-7000
Type: Location
Beaumont Health, 26901, Beaumont Boulevard, Southfield, Oakland County, Michigan, 48033, United States
STE. 3D
SOUTHFIELD, MI 480333849
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-03-20
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48124)
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