Individual provider Active NPI

Leela Mirafzali Hamp, MD

  • Dermatology Physician
  • Dexter, MI
National Provider Identifier
1225423932
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301117588 Issued in MI
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

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20191212002467 MI Practitioner - Dermatology 2567772601 Reassigns benefits to 1 organization

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
Laura K Ganger MD PCGroup PAC ID 0143472373, 8 clinicians

Practice addresses (Care Compare)

1979 Huron Pkwy
Ann Arbor, MI 48104-4141
Phone (734) 344-4567

Hospital & facility affiliations

  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

Merit-based Incentive Payment System (MIPS)

Final score
92.18 of 100Reported as group
Quality
89.06
Promoting interoperability
94
Improvement activities
40
Cost
89.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions255
Removal or shaving of skin growth1-10
Skin biopsy148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301117588MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laura K Ganger, M.D. P.C. Dermatology CurrentSince Jul 5, 2022 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.