Individual provider Active NPI

Oleh Roman Lawrin, DPM

  • Foot Surgery Podiatrist
  • Sterling Heights, MI
National Provider Identifier
1316944937
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
400101 Issued in MI
Practice address
4595 Nathan W
Sterling Heights, MI 48310-2658
Phone
(586) 759-4170
Fax
(586) 759-0150
NPI assigned
Jun 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 400101 MI Primary

Addresses

Primary practice location

4595 Nathan W
Sterling Heights, MI 48310-2658

Mailing address

4595 Nathan W
Sterling Heights, MI 48310-2658
Phone (586) 759-4170

Other identifiers 1

IdentifierTypeStateIssuer
1316944937MedicaidMI

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000298 MI Practitioner - Podiatry 3072565837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Medical Clinic PCGroup PAC ID 1355326885, 6 clinicians

Practice addresses (Care Compare)

37450 Dequindre Rd
Sterling Heights, MI 48310-3503
Phone (586) 979-5100

6445 W Maple Rd
West Bloomfield Nursing Center
West Bloomfield, MI 48322-2047
Phone (248) 592-2002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue87
Removal or shaving of skin growth16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
400101MIMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Medical Clinic, P.C. CurrentSince Jan 3, 2020 Accepting new patients

Locations

37450 Dequindre Rd
Sterling Hts, MI 48310
Phone (586) 979-5100

2372 15 Mile Rd
Sterling Hts, MI 48310
Phone (586) 978-2280

6445 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 592-2002

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.

NPI Registry JSON

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1316944937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4595 NATHAN W",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102658",
            "telephone_number": "586-759-4170",
            "fax_number": "586-759-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 NATHAN W",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102658",
            "telephone_number": "586-759-4170",
            "fax_number": "586-759-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRIN",
        "first_name": "OLEH",
        "middle_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "400101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316944937",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.