Individual provider Active NPI

Leika Hassan Raychouni

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1083108617
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301505351 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2689
Phone
(313) 916-1601
NPI assigned
Jun 18, 2018
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301505351 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X 4301115283 MI

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2689

Mailing address

801 N Mildred St
Dearborn, MI 48128-1732
Phone (313) 646-3763

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
I20210804002807 MI Practitioner - Internal MedicinePractitioner - Hospitalist 2466796628 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Detroit Medical Consultants PCGroup PAC ID 3678854866, 13 clinicians

Practice addresses (Care Compare)

4100 Woodward Ave
Detroit, MI 48201-2173
Phone (313) 974-6533

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301115283MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mdslivenow PLLC Internal Medicine CurrentSince Oct 13, 2022 Accepting new patients
Iha Health Services Corporation CurrentSince Jan 1, 2022 Accepting new patients
Transitional Healthcare Solutions PLLC Internal Medicine CurrentSince Dec 9, 2023 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Detroit Medical Consultants PC Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Metro Hospitalist Group PLLC Internal Medicine CurrentSince Jan 28, 2026 Accepting new patients
Iha Health Service Corporation CurrentSince Jan 1, 2022 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 647-5871

8542 N Canton Center Rd
Canton, MI 48187
Phone (313) 974-6533

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

5220 Oakman Blvd
Dearborn, MI 48126
Phone (313) 203-5300

20526 Plymouth Rd
Detroit, MI 48228
Phone (313) 273-3780

4100 Woodward Ave
Detroit, MI 48201
Phone (313) 449-7954

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

15450 Northline Rd
Ste 101
Southgate, MI 48195
Phone (734) 225-1315

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

Organizations & group practices 8

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1083108617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N MILDRED ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281732",
            "telephone_number": "313-646-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022689",
            "telephone_number": "313-916-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYCHOUNI",
        "first_name": "LEIKA",
        "middle_name": "HASSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301505351",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301115283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.