Individual provider Active NPI

Lana Kawa, MD

  • Internal Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1073697199
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301081236 Issued in MI
Practice address
37450 Dequindre Rd
Sterling Heights, MI 48310-3503
Phone
(586) 979-5100
Fax
(586) 795-5050
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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 4301081236 MI Primary

Addresses

Primary practice location

37450 Dequindre Rd
Sterling Heights, MI 48310-3503

Mailing address

4965 Adams Pionte CT
Troy, MI 48098-4111
Phone (586) 979-5100

Other identifiers 5

IdentifierTypeStateIssuer
110B510530OtherMIBCBSM
1021087OtherMIMHP HAN
4928742MedicaidMI
01004037OtherMIHEALTH PLUS
17889OtherMIMCARE

Other names 1

  • Lana Koua Other name

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
I20061106000556 MI Practitioner - Internal Medicine 0840297768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37450 Dequindre Rd
Sterling Heights, MI 48310-3503
Phone (586) 979-5100

4965 Adams Pointe CT
Troy, MI 48098-4111

925 W S Blvd
HHCC Oakland
Troy, MI 48085-1502
Phone (248) 229-2996

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301081236MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lana Kawa MD PC Internal Medicine CurrentSince Jun 18, 2009 Accepting new patients
Tri-County Medical Clinic, P.C. Internal Medicine CurrentSince Mar 22, 2010 Accepting new patients
William Beaumont Hospital Past Accepting new patients
Academic Internal Medicine Specialists PLLC Internal Medicine PastSince Jul 1, 2010 Accepting new patients
Macomb Internists PC Internal Medicine Past Accepting new patients

Locations

37450 Dequindre Rd
Sterling Hts, MI 48310
Phone (586) 979-5100

6445 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 592-2002

Organizations & group practices 5

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 1

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1073697199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4965 ADAMS PIONTE CT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984111",
            "telephone_number": "586-979-5100",
            "fax_number": "586-795-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37450 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103503",
            "telephone_number": "586-979-5100",
            "fax_number": "586-795-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWA",
        "first_name": "LANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301081236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "110B510530",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHP HAN",
            "identifier": "1021087",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4928742",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "01004037",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "17889",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANA",
            "last_name": "KOUA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.