NPIMap

Organization Active NPI

Ronald S Lederman, MD, PLLC

Doing business as Lederman Kwartowitz Center for Orthopedics

  • Orthopaedic Surgery Physician
  • West Bloomfield, MI
National Provider Identifier
1003964610
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
RONALD S LEDERMAN, MD, PLLC
Doing business as
Lederman Kwartowitz Center for Orthopedics
Practice address
2300 Haggerty Rd
Suite 1110
West Bloomfield, MI 48323-2184
Phone
(248) 669-2000
Fax
(248) 669-2110
NPI assigned
Jan 8, 2007
Last updated
May 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronald S Lederman, MDNPI 1609855253
Title
Medical Director
Phone
(248) 669-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 064514 MI
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2300 Haggerty Rd
Suite 1110
West Bloomfield, MI 48323-2184

Mailing address

2300 Haggerty Rd Ste 1110
West Bloomfield, MI 48323-2185
Phone (248) 669-2000

Other practice location 1

31500 Telegraph Rd Ste 235
Bingham Farms, MI 48025-4315
Phone (248) 669-2000

Other names 1

  • Lederman Kwartowitz Center for Orthopedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080410000326 MI Part B Supplier - Clinic/Group Practice 8224115563 Receives reassigned benefits from 10 practitioners
Practice locations: West Bloomfield, MI; Brighton, MI; Troy, MI
O20201207000260 MI DME Supplier - Physician - General Practice 8224115563 Practice locations: West Bloomfield, MI

National Provider Directory

National Provider Directory

Locations

8550 W Grand River Ave
Brighton, MI 48116
Phone (248) 669-2000

Interoperability endpoints

  • Direct secure messaging: cokeefe@direct.lkorthopedics.com
  • Direct secure messaging: jgeorgia@direct.lkorthopedics.com
  • Direct secure messaging: mkwartowitz@direct.lkorthopedics.com
  • Direct secure messaging: rlederman@direct.lkorthopedics.com

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1003964610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 1110",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232185",
            "telephone_number": "248-669-2000",
            "fax_number": "248-669-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 1110",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-669-2000",
            "fax_number": "248-669-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31500 Telegraph Rd Ste 235",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254315",
            "country_code": "US",
            "telephone_number": "248-669-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RONALD S LEDERMAN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "LEDERMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-669-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "064514",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lederman Kwartowitz Center for Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lederman Kwartowitz Center for Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.