Active NPI
Joseph Lawrence Lelli, M.D.
- Pediatric Surgery Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 4301406824
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301072214 | MI | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Henry Ford Pathology | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| VHS Physicians of Michigan | Past | Accepting new patients | |
| Henry Ford Health System | Past | Accepting new patients | |
| Promedica Children'S Specialists | Pediatric Surgery | Past | 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
- jlelli@direct.dmc.org
- jlelli13779@direct.promedica.org
- https://fhir.hfhs.org/FHIRProxy/api/FHIR/R4/
- 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.
-
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1912965088
Pediatric Surgery
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1003989690
-
- Surgery Physician
- Detroit, MI
- NPI 1508942525
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1891702833
-
- Specialist
- Detroit, MI
- NPI 1396817714
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1346284684
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.