Individual provider Active NPI

Lequishia Alexander, M.D

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1164621884
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301090603 Issued in MI
Practice address
4201 Saint Antoine St # Uhc
Wayne State University/Detroit Medical Center, Departme
Detroit, MI 48201-2153
Phone
(313) 745-4832
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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 4301090603 MI Primary

Addresses

Primary practice location

4201 Saint Antoine St # Uhc
Wayne State University/Detroit Medical Center, Departme
Detroit, MI 48201-2153

Mailing address

4201 Saint Antoine St # Uhc
Wayne State University/DMC, Dept of Internal Medicine
Detroit, MI 48201-2153
Phone (313) 745-4832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121001000401 MI Practitioner - Internal MedicinePractitioner - Emergency Medicine 9436308707 Reassigns benefits to 2 organizations
I20260326002181 CO Practitioner - Internal Medicine 9436308707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Solace Health Medical Group IncGroup PAC ID 9830540624, 122 clinicians

Practice addresses (Care Compare)

2590 Welton St
Suite 200
Denver, CO 80205-4268
Phone (201) 283-8515

455 E Eisenhower Pkwy
Suite 300
Ann Arbor, MI 48108-3324
Phone (240) 693-3281

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301090603MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group Internal Medicine Past Accepting new patients
Guardian Angel Home Care and Hospice of Rochester Hills Past Accepting new patients
University Physician Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lalexand2@direct.dmc.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 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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1164621884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST # UHC",
            "address_2": "WAYNE STATE UNIVERSITY/DMC, DEPT OF INTERNAL MEDICINE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4832",
            "fax_number": "313-745-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST # UHC",
            "address_2": "WAYNE STATE UNIVERSITY/DETROIT MEDICAL CENTER, DEPARTME",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "LEQUISHIA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301090603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.