Individual provider Active NPI

Leah Catherine Trybus, PA-C

  • Physician Assistant
  • Westland, MI
National Provider Identifier
1114352390
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010599 Issued in MI
Practice address
7107 N Wayne Rd
Westland, MI 48185-2172
Phone
(734) 578-0009
Fax
(734) 578-0005
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601010599 MI Primary

Addresses

Primary practice location

7107 N Wayne Rd
Westland, MI 48185-2172

Mailing address

22541 Dover Hill CT
Farmington Hills, MI 48335-3911

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216001125 MI Practitioner - Physician Assistant 1557752037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet Urgent Care of MichiganGroup PAC ID 6305188491, 129 clinicians

Practice addresses (Care Compare)

15959 Hall Rd
Suite 104
Macomb, MI 48044-5364
Phone (586) 884-2688

2078 E Big Beaver Rd
Beaumont Urgent Care of Michigan
Troy, MI 48083-2301
Phone (248) 918-0744

25631 Little Mack Ave
Suite 104
Saint Clair Shores, MI 48081-2100
Phone (586) 884-2727

28284 Dequindre Rd
Warren, MI 48092-5604
Phone (586) 413-7069

28550 Schoenherr Rd
Warren, MI 48088-4329
Phone (586) 480-1685

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
76.04 of 100Reported as group
Quality
67.93
Promoting interoperability
100
Improvement activities
40
Cost
52.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601010599MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elements Therapeutic Massage Past Accepting new patients
C-Ync, LLC Massage Therapist Past Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ltrybus2397666@epic00.corewelldirect.org

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 4

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": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1114352390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22541 DOVER HILL CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483353911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852172",
            "telephone_number": "734-578-0009",
            "fax_number": "734-578-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYBUS",
        "first_name": "LEAH",
        "middle_name": "CATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.