Individual provider Active NPI

Lindsay Christina El Awadi, PA-C

  • Dermatology Physician
  • Shelby TWP, MI
National Provider Identifier
1306375365
Registry record updated Jun 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5601008229 Issued in MI
Practice address
50182 Schoenherr Rd
Shelby TWP, MI 48315-3136
Phone
(586) 997-9700
NPI assigned
Jun 5, 2017
Last updated
Jun 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2017

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 5601008229 MI Primary

Addresses

Primary practice location

50182 Schoenherr Rd
Shelby TWP, MI 48315-3136

Mailing address

20901 Crestmont LN
Dearborn Heights, MI 48127-2651
Phone (313) 205-8754

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170718002703 MI Practitioner - Physician Assistant 0648540070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consultants in Ophthalmic and Facial Plastic SurgeryGroup PAC ID 4486637006, 9 clinicians

Practice addresses (Care Compare)

2401 W Big Beaver Rd
Suite 101
Troy, MI 48084-3304
Phone (248) 457-0596

29201 Telegraph Rd
Suite 324
Southfield, MI 48034-7646
Phone (248) 357-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601008229MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Infusion Clinic Past Accepting new patients
University Physician Group Dermatology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lelawadi428000@direct.hfhs.org

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1306375365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20901 CRESTMONT LN",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272651",
            "telephone_number": "313-205-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50182 SCHOENHERR RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153136",
            "telephone_number": "586-997-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL AWADI",
        "first_name": "LINDSAY",
        "middle_name": "CHRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5601008229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

Verify at the official NPI Registry.