NPIMap

Individual provider Active NPI

Lawrence M Dell, M.D.

  • Internal Medicine Physician
  • West Bloomfield, MI
National Provider Identifier
1184660490
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43010530888 Issued in MI
Practice address
2300 Haggerty Road
Suite 1010
West Bloomfield, MI 48323
Phone
(248) 668-0900
Fax
(248) 926-9112
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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 43010530888 MI Primary

Addresses

Primary practice location

2300 Haggerty Road
Suite 1010
West Bloomfield, MI 48323

Mailing address

PO Box 251325
West Bloomfield, MI 48325-1325
Phone (248) 668-0900

Other identifiers 1

IdentifierTypeStateIssuer
2716788MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040715001150 MI Practitioner - Internal Medicine 1254310329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Michigan Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakes Urgent Care IncGroup PAC ID 1052390127, 2 clinicians
Lawrence M Dell, MD, PCGroup PAC ID 1456398775, 6 clinicians

Practice addresses (Care Compare)

2300 Haggerty Rd
Suite 1010
West Bloomfield, MI 48323-2185
Phone (248) 926-9111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43010530888MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence M Dell, MD, PC CurrentSince Aug 1, 2004 Accepting new patients
Lakes Urgent Care, Inc. CurrentSince Jul 1, 2004 Accepting new patients
VHS Huron Valley-Sinai Hospital Inc Past Accepting new patients
Lakes Urgent Care Inc Past Accepting new patients

Locations

31410 Northwestern Hwy
Ste A
Farmington Hills, MI 48334
Phone (248) 476-7650

2300 Haggerty Rd
Ste 1010
West Bloomfield, MI 48323
Phone (248) 668-0900

Interoperability endpoints

  • Direct secure messaging: ldell@direct.dmc.org

Organizations & group practices 4

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 8

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1184660490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251325",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483251325",
            "telephone_number": "248-668-0900",
            "fax_number": "248-926-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY ROAD",
            "address_2": "SUITE 1010",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48323",
            "telephone_number": "248-668-0900",
            "fax_number": "248-926-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELL",
        "first_name": "LAWRENCE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "43010530888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2716788",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.