Active NPI
Leika Hassan Raychouni
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301505351
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2689 - Phone
- (313) 916-1601
- NPI assigned
- Jun 18, 2018
- Last updated
- Feb 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301115283 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdslivenow PLLC | Internal Medicine | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Transitional Healthcare Solutions PLLC | Internal Medicine | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Detroit Medical Consultants PC | Internal Medicine | Current | Accepting new patients |
| Metro Hospitalist Group PLLC | Internal Medicine | Current | Accepting new patients |
| Iha Health Service Corporation | Current | 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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1609229848
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1215688965
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1659932838
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1376226928
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba IHA Hospitalist
- Hospitalist Physician
- Ypsilanti, MI
- NPI 1306121405
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Outpatient Diabetes Education
- Community Health Clinic/Center
- Dearborn, MI
- NPI 1790414670
Hospital
-
dba Beaumont Hospital - Wayne
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.