Individual provider Active NPI

Linda Anne Plizga, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Grosse Pointe, MI
National Provider Identifier
1235346578
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
5101017033 Issued in MI
Practice address
648 Saint Clair St
Grosse Pointe, MI 48230-1506
Phone
(313) 264-6460
Fax
(313) 640-0909
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101017033 MI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 5101017033 MI Primary

Addresses

Primary practice location

648 Saint Clair St
Grosse Pointe, MI 48230-1506

Mailing address

648 Saint Clair St
Grosse Pointe, MI 48230-1506
Phone (313) 264-6460

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
I20100818000340 MI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5890829469 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Nov 4, 2019 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Nov 4, 2019 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

19251 Mack Ave
Ste 333
Grosse Pointe Woods, MI 48236
Phone (313) 343-7280

11885 E 12 Mile Rd
Ste 300A
Warren, MI 48093
Phone (586) 582-6630

Interoperability endpoints

  • Direct secure messaging: lplizga1144748@direct.hfhs.org

Organizations & group practices 3

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1235346578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 SAINT CLAIR ST",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301506",
            "telephone_number": "313-264-6460",
            "fax_number": "313-640-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 SAINT CLAIR ST",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301506",
            "telephone_number": "313-264-6460",
            "fax_number": "313-640-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLIZGA",
        "first_name": "LINDA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101017033",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "5101017033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

Verify at the official NPI Registry.