Individual provider Active NPI

Joyce Leon, M.D.

  • Internal Medicine Physician
  • Wyandotte, MI
National Provider Identifier
1225005002
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301073804 Issued in MI
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

Updated by the provider on Mar 15, 2021

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 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

IdentifierTypeStateIssuer
0H27501OtherMIBLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122000078 MI Practitioner - Internal Medicine 6507052255 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301073804MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coordinated Medical I PLLC CurrentSince Aug 7, 2024 Accepting new patients
Henry Ford Wyandotte Hospital Current Accepting new patients
Iah of Michigan, PLLC Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Solace Medical Care PLLC PastSince May 1, 2023 Accepting new patients
Henry Ford Wyandotte Hospital PastSince Jul 5, 2020 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

  • Direct secure messaging: joyce.leon.1@28677.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.