Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Douglas Ebersole, MD

Individual provider Diagnostic Radiology Physician · NPI 1023185287

Dr. John Douglas Ebersole, MD is an Interventional Radiology in Royal Oak, Michigan. Graduated from Wayne State University School of Medicine in 1999, 27 years ago. Practices with Beaumont Medical Group Hospital Based Services, a 572-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-6064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Bronson Methodist Hospital, Kalamazoo, MI 49007 — (269) 341-6411

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 4301074124 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4301074124 (MI)

Record details

NPI number1023185287
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 30, 2006
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020
Mailing address26901 Beaumont Blvd, Ste 3d, Southfield, MI 48033-3849

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Beaumont Medical Group Hospital Based Services — 572 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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