Individual provider Active NPI

Joseph Lawrence Lelli, M.D.

  • Pediatric Surgery Physician
  • Detroit, MI
National Provider Identifier
1336147461
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
4301406824 Issued in MI
Practice address
22151 Moross Rd Ste 209
Detroit, MI 48236-2177
Phone
(313) 343-3978
Fax
(313) 417-2730
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 4301406824 MI Primary

Addresses

Primary practice location

22151 Moross Rd Ste 209
Detroit, MI 48236-2177

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (800) 999-5829

Other practice location 1

2799 W Grand Blvd # 417
Detroit, MI 48202-2608
Phone (313) 916-2600

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
I20040323000735 MI Practitioner - General Surgery 0042101602 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301072214MIMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital Pediatric Surgery CurrentSince Nov 28, 2024 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System CurrentSince Dec 1, 2025 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Nov 28, 2024 Accepting new patients
Henry Ford Health System CurrentSince Dec 1, 2025 Accepting new patients
VHS Physicians of Michigan PastSince Jun 18, 2023 Accepting new patients
Henry Ford Health System Past Accepting new patients
Promedica Children'S Specialists Pediatric Surgery PastSince Jan 1, 2017 Accepting new patients
SJMH Medical Practice-SMHC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
VHS Childrens Hospital of Michigan Inc Past Accepting new patients
Bronson Methodist Hospital Pediatric Surgery Past Accepting new patients
Michigan Pediatric Surgery Associates P.C. Past Accepting new patients

Locations

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

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

2799 W Grand Blvd
#417
Detroit, MI 48202
Phone (313) 916-8144

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3901 Beaubien St
Fl 2
Detroit, MI 48201
Phone (313) 745-0659

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

22151 Moross Rd
Ste 209
Grosse Pointe, MI 48236
Phone (313) 343-3804

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

Interoperability endpoints

  • Direct secure messaging: jlelli@direct.dmc.org
  • Direct secure messaging: jlelli13779@direct.promedica.org
  • FHIR API: https://fhir.hfhs.org/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jlelli58819@direct.hfhs.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1336147461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "800-999-5829",
            "fax_number": "313-876-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22151 MOROSS RD STE 209",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362177",
            "telephone_number": "313-343-3978",
            "fax_number": "313-417-2730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 W Grand Blvd # 417",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "313-916-2600",
            "fax_number": "313-916-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LELLI",
        "first_name": "JOSEPH",
        "middle_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MI",
            "license": "4301406824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.