Leanna M Alaiwat
Individual provider Active NPI Physician Assistant · Dearborn Heights, MI
NPI 1346884053 · NPPES record last updated Nov 5, 2019
Key facts
- NPI
- 1346884053
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 25150 Ford Rd Ste 200
Dearborn Heights, MI 48127-3163 - Phone
- (313) 277-0400
- NPI assigned
- Nov 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200709000782 | MI | Practitioner - Physician Assistant | 9739501743 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime HRT, PLLC | Current |
Accepting new patients | |
| Women'S Center Healthcare Physicians, PLLC | Past |
Accepting new patients |
Locations
2142 Monroe St
Ste 200
Dearborn, MI 48124
Phone (313) 444-1116
Interoperability endpoints
- lalaiwat689122@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
25150 Ford Rd Ste 200
Dearborn Heights, MI 48127-3163
Mailing address
28250 Carlton Way Dr
Novi, MI 48377-2634
Phone (734) 277-5035
Other providers in Dearborn Heights, MI
- Hanin N Al-Jaber I
- Raheel Al-Jabery
- Shaima Al-Kuhali
- Ali Al-Wishah
- Reem Alabbousi
- Nahida Alakari
- Nouhad Alame
- Mohammed Alansary
- Khlood M Alasri
- Haneen A Alatab
All providers in Dearborn Heights, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.