Individual provider Active NPI

John Leslie Paquet, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1073593364
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
JP068616 Issued in MI
Practice address
1934 Monroe St
Dearborn, MI 48124-2917
Phone
(313) 565-7464
Fax
(313) 565-3620
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X JP068616 MI Primary

Addresses

Primary practice location

1934 Monroe St
Dearborn, MI 48124-2917

Mailing address

1934 Monroe St
Dearborn, MI 48124-2917
Phone (313) 565-7464

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
I20050919000558 MI Practitioner - Internal Medicine 0547291718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunstrum Medical Associates P.C.Group PAC ID 4284665456, 2 clinicians

Practice addresses (Care Compare)

1934 Monroe St
Dearborn, MI 48124-2917
Phone (313) 565-7464

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
JP068616MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunstrum Medical Associates P.C. Internal Medicine CurrentSince Oct 1, 2005 Accepting new patients
Dietitian for All L.L.C. PastSince Oct 1, 2005 Accepting new patients

Locations

1934 Monroe St
Dearborn, MI 48124
Phone (313) 565-7464

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACEHCA/Endpoint/ACEHCA

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073593364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242917",
            "telephone_number": "313-565-7464",
            "fax_number": "313-565-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242917",
            "telephone_number": "313-565-7464",
            "fax_number": "313-565-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAQUET",
        "first_name": "JOHN",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "JP068616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.