Individual provider Active NPI

Maxwell Leffler, DO

  • Emergency Medicine Physician
  • Adrian, MI
National Provider Identifier
1255893822
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101026751 Issued in MI
Practice address
5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone
(517) 920-3375
NPI assigned
Apr 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Emergency Medicine Physician 207P00000X 5101026751 MI Primary

Addresses

Primary practice location

5640 N Adrian Hwy
Adrian, MI 49221-8318

Mailing address

600 Cairns St
Tecumseh, MI 49286-1661
Phone (517) 920-3375

Other practice location 1

36500 S Gratiot Ave
Clinton Twp, MI 48035-1772
Phone (586) 790-9003

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
I20220921003139 MI Practitioner - Emergency Medicine 1658606884 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.11 of 100Reported as group
Quality
81.85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101026751MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Sound Physicians Emergency Medicine of Michigan, PLLC Emergency Medicine CurrentSince Oct 3, 2023 Accepting new patients
Rightcare Clinic PC CurrentSince May 24, 2024 Accepting new patients
Ecs Western Michigan PC Emergency Medicine CurrentSince Apr 18, 2024 Accepting new patients
Ecs Central Michigan PC Emergency Medicine CurrentSince May 24, 2024 Accepting new patients
Memorial Hospital CurrentSince Apr 1, 2025 Accepting new patients
Visionary Medical Services PC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients

Locations

5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

4100 Embassy Dr SE
Ste 400
Grand Rapids, MI 49546
Phone (616) 285-8075

1840 Wealthy St SE
Grand Rapids, MI 49506
Phone (616) 391-1730

743 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 456-9553

615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

Organizations & group practices 7

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1255893822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CAIRNS ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861661",
            "telephone_number": "517-920-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 N ADRIAN HWY",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218318",
            "telephone_number": "517-920-3375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36500 S Gratiot Ave",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480351772",
            "country_code": "US",
            "telephone_number": "586-790-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEFFLER",
        "first_name": "MAXWELL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101026751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.