Active NPI
Joyce Leon, M.D.
- Internal Medicine Physician
- Wyandotte, MI
National Provider Identifier
1225005002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301073804
- Practice address
- 2070 Biddle Ave Ste 2
Wyandotte, MI 48192-4080 - Phone
- (734) 671-6741
- Fax
- (734) 671-1038
- NPI assigned
- Mar 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301073804 | MI | Primary |
Addresses
Primary practice location
2070 Biddle Ave Ste 2
Wyandotte, MI 48192-4080
Mailing address
23050 West Rd Ste 130
Brownstown TWP, MI 48183-1473
Phone (734) 391-3057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0H27501 | Other | MI | BLUE CROSS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jleon144158@direct.hfhs.org |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301073804 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coordinated Medical I PLLC | Current | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| Iah of Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Solace Medical Care PLLC | Past | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Past | Accepting new patients |
Locations
2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
210 Athens Way
Ste 100
Nashville, TN 37228
Interoperability endpoints
- joyce.leon.1@28677.direct.athenahealth.com
- jleon144158@direct.hfhs.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.
-
- General Practice Physician
- Novi, MI
- NPI 1053019679
-
- Clinical Social Worker
- Wyandotte, MI
- NPI 1093940272
-
- Certified Registered Nurse Anesthetist
- Wyandotte, MI
- NPI 1386685212
-
- General Practice Physician
- Amherst, NY
- NPI 1740979640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1225005002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23050 WEST RD STE 130",
"city": "BROWNSTOWN TWP",
"state": "MI",
"postal_code": "481831473",
"telephone_number": "734-391-3057",
"fax_number": "734-391-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2070 BIDDLE AVE STE 2",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481924080",
"telephone_number": "734-671-6741",
"fax_number": "734-671-1038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "JOYCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301073804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0H27501",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jleon144158@direct.hfhs.org",
"affiliation": "N",
"address_1": "2070 Biddle Ave Ste 2",
"city": "Wyandotte",
"state": "MI",
"country_code": "US",
"postal_code": "481924080",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.