Active NPI
Leela Mirafzali Hamp, MD
- Dermatology Physician
- Dexter, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 4301117588
- Practice address
- 7300 Dexter Ann Arbor Rd Ste 110
Dexter, MI 48130-8598 - Phone
- (734) 936-4054
- NPI assigned
- Mar 31, 2015
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 4301117588 | MI | Primary |
Addresses
Primary practice location
7300 Dexter Ann Arbor Rd Ste 110
Dexter, MI 48130-8598
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other names 1
- Ms. Leela Mirafzali
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
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Michigan Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1979 Huron Pkwy
Ann Arbor, MI 48104-4141
Phone (734) 344-4567
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
- University of Michigan Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.18 of 100
- Quality
- 89.06
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 89.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 255 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 148 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301117588 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laura K Ganger, M.D. P.C. | Dermatology | Current | Accepting new patients |
Locations
7397 Solutions Ctr
Chicago, IL 60677
1979 S Huron Pkwy
Ann Arbor, MI 48104
Phone (734) 344-4567
49200 Wixom Tech Dr
Wixom, MI 48393
Phone (734) 344-4567
Organizations & group practices 1
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.
-
- Dermatology Physician
- Ann Arbor, MI
- NPI 1720347248
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1225423932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 DEXTER ANN ARBOR RD STE 110",
"city": "DEXTER",
"state": "MI",
"postal_code": "481308598",
"telephone_number": "734-936-4054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMP",
"first_name": "LEELA",
"middle_name": "MIRAFZALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-31",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "4301117588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEELA",
"last_name": "MIRAFZALI",
"prefix": "MS.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dexter, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.