Individual provider Active NPI

Ingrid Zoraya Martinez-Lyons, M.D,

  • Psychiatry Physician
  • Novi, MI
National Provider Identifier
1013019710
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301057905 Issued in MI
Practice address
40000 Grand River Ave Ste 306
Novi, MI 48375-2137
Phone
(248) 426-9900
Fax
(248) 426-9900
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301057905 MI Primary

Addresses

Primary practice location

40000 Grand River Ave Ste 306
Novi, MI 48375-2137

Mailing address

40000 Grand River Ave Ste 306
Novi, MI 48375-2137
Phone (248) 426-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080725000019 MI Practitioner - Psychiatry 5991878845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arman C Moshyedi MD PLLCGroup PAC ID 1658603576, 13 clinicians
Abh CorporationGroup PAC ID 6406928332, 4 clinicians

Practice addresses (Care Compare)

3815 Pelham St
Dearborn, MI 48124-3852
Phone (855) 940-4867

40000 Grand River Ave
Suite 504
Novi, MI 48375-2176
Phone (248) 426-9900

51221 Schoenherr Rd
Suite 107
Shelby Township, MI 48315-2715
Phone (586) 360-7745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301057905MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abh Corporation CurrentSince Jan 1, 2008 Accepting new patients
Kamran F. Sheikh MD PC Past Accepting new patients
Sacred Heart Medical Centre PC Past Accepting new patients
Abh Corporation Past Accepting new patients

Locations

40000 Grand River Ave
Ste 504
Novi, MI 48375
Phone (248) 426-9900

51221 Schoenherr Rd
Ste 107
Shelby Township, MI 48315
Phone (586) 360-7745

Interoperability endpoints

  • Direct secure messaging: ingrid.martinez-lyons.1@18773.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013019710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40000 GRAND RIVER AVE STE 306",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752137",
            "telephone_number": "248-426-9900",
            "fax_number": "248-426-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40000 GRAND RIVER AVE STE 306",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752137",
            "telephone_number": "248-426-9900",
            "fax_number": "248-426-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-LYONS",
        "first_name": "INGRID",
        "middle_name": "ZORAYA",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301057905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.