NPIMap

Individual provider Active NPI

Sandra Schlean Lerner, DO

  • Family Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1225018781
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101015209 Issued in MI
Practice address
29645 W 14 Mile Rd
Suite 110
Farmington Hills, MI 48334-1666
Phone
(248) 254-6000
Fax
(248) 254-6001
NPI assigned
Jan 20, 2006
Last updated
Oct 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101015209 MI Primary

Addresses

Primary practice location

29645 W 14 Mile Rd
Suite 110
Farmington Hills, MI 48334-1666

Mailing address

130 Town Center Dr Ste 203
Beaumont Medical Staff Affairs
Troy, MI 48084-1744
Phone (248) 585-8218

Other identifiers 1

IdentifierTypeStateIssuer
4789086MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address slerner74384@direct.beaumont.edu

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
I20050613000056 MI Practitioner - Family Practice 0840234720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mandy Care, LLCGroup PAC ID 6507044948, 7 clinicians

Practice addresses (Care Compare)

29275 Northwestern Hwy
Suite 202
Southfield, MI 48034-5744
Phone (248) 996-8332

7125 Orchard Lake Rd
Suite 210
West Bloomfield, MI 48322-3618
Phone (248) 757-2410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101015209MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M&Y Care, LLC CurrentSince Jul 7, 2023 Accepting new patients
M&Y Care, LLC CurrentSince Jul 7, 2023 Accepting new patients
Sandra S Lerner DO PLLC Family Medicine CurrentSince Apr 28, 2023 Accepting new patients
Envision Diagnostic Center PLLC Family Medicine Past Accepting new patients

Locations

29275 Northwestern Hwy
Ste 202
Southfield, MI 48034
Phone (248) 727-1990

Interoperability endpoints

  • Direct secure messaging: sandra.lerner.1@17748.direct.athenahealth.com
  • Direct secure messaging: slerner74384@direct.beaumont.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1225018781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TOWN CENTER DR STE 203",
            "address_2": "BEAUMONT MEDICAL STAFF AFFAIRS",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841744",
            "telephone_number": "248-585-8218",
            "fax_number": "248-585-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29645 W 14 MILE RD",
            "address_2": "SUITE 110",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341666",
            "telephone_number": "248-254-6000",
            "fax_number": "248-254-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "SANDRA",
        "middle_name": "SCHLEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4789086",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slerner74384@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "29645 W 14 Mile Rd",
            "address_2": "Suite 110",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483341666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.