Individual provider Active NPI

Leslie A Mumaw, MD

  • Anesthesiology Physician
  • Southfield, MI
National Provider Identifier
1063528172
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
LM054944 Issued in MI
Practice address
26051 Lahser Rd
Southfield, MI 48034-2601
Phone
(248) 223-9945
NPI assigned
Aug 22, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X LM054944 MI Primary

Addresses

Primary practice location

26051 Lahser Rd
Southfield, MI 48034-2601

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440

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
I20040428001125 MI Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 7214825363 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Medical College of Ohio, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novi Aas LLCGroup PAC ID 1557587847, 14 clinicians
Monaco Management LLCGroup PAC ID 9739577461, 37 clinicians

Practice addresses (Care Compare)

25500 Meadowbrook Rd
Suite 110
Novi, MI 48375-1879
Phone (248) 477-2200

300 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 463-1101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LM054944MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Detroit Anesthesia Group PLLC Anesthesiology CurrentSince Oct 31, 2021 Accepting new patients
Paragon Anesthesia PLLC Anesthesiology CurrentSince Nov 25, 2020 Accepting new patients
Monaco Management, LLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Novi Aas LLC Anesthesiology CurrentSince Nov 3, 2024 Accepting new patients
GLPS Staffing Solutions LLC CurrentSince Nov 15, 2019 Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

17000 Executive Plaza Dr
Ste 301
Dearborn, MI 48126
Phone (313) 408-6613

2300 Austins Pkwy
Flint, MI 48507
Phone (810) 449-4190

3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658

26051 Lahser Rd
Southfield, MI 48033
Phone (248) 223-9925

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1063528172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26051 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342601",
            "telephone_number": "248-223-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMAW",
        "first_name": "LESLIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "LM054944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.