Active NPI
Lindsay Nelson, D.O.
- Surgery Physician
- Commerce Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5101025099
- Practice address
- 1 William Carls Dr
Commerce Township, MI 48382-2201 - Phone
- (248) 937-3300
- NPI assigned
- Feb 21, 2017
- Last updated
- Dec 13, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101025099 | MI | Primary |
| Colon & Rectal Surgery Physician | 208C00000X | 5101025099 | MI | |
| Colon & Rectal Surgery Physician | 208C00000X | 125079584 | IL |
Addresses
Primary practice location
1 William Carls Dr
Commerce Township, MI 48382-2201
Mailing address
PO Box 19638
Springfield, IL 62794-9638
Phone (217) 545-8856
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
- General Surgery
- Education
- Michigan State University College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Wiliam Carls Dr
Commerce Township, MI 48382-2201
Phone (348) 947-3370
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 46 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101025099 | MI | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Surgical PLC | Surgery | Current | Accepting new patients |
| VHS Sinai-Grace Hospital Inc | Past | Accepting new patients | |
| VHS Huron Valley-Sinai Hospital Inc | Past | Accepting new patients |
Locations
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
20400 Livernois Ave
Detroit, MI 48221
Phone (313) 864-3766
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
6071 W Outer Dr
Ste M501
Detroit, MI 48235
Phone (313) 966-1941
Interoperability endpoints
- lnelson646088@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Commerce Township, MI
- NPI 1063028728
-
dba Huron Valley-Sinai Hospital
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
-
dba Sinai-Grace Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huron Valley-Sinai Hospital
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
-
dba Sinai-Grace Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1265971493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19638",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949638",
"telephone_number": "217-545-8856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WILLIAM CARLS DR",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483822201",
"telephone_number": "248-937-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LINDSAY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101025099",
"primary": true
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MI",
"license": "5101025099",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "IL",
"license": "125079584",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commerce Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.