Individual provider Active NPI

John Leahy, M.D.

  • Obstetrics & Gynecology Physician
  • Royal Oak, MI
National Provider Identifier
1396008405
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301101353 Issued in MN
Practice address
3535 W 13 Mile Rd
Suite 233
Royal Oak, MI 48073-6770
Phone
(248) 551-0417
Fax
(248) 551-5010
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301101353 MN Primary

Addresses

Primary practice location

3535 W 13 Mile Rd
Suite 233
Royal Oak, MI 48073-6770

Mailing address

3535 W 13 Mile Rd
Suite 233
Royal Oak, MI 48073-6770
Phone (248) 551-0417

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
I20181218002309 MI Practitioner - Obstetrics/Gynecology 8123363223 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health System 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608

2799 W Grand Boulevard
Detroit, MI 48202-2608
Phone (313) 876-2454

Hospital & facility affiliations

  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301101353MNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Together Women'S Health Medical Group, P.C. Obstetrics & Gynecology CurrentSince Feb 21, 2023 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jan 12, 2025 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Henry Ford Macomb Hospital Corporation Obstetrics & Gynecology CurrentSince Jan 12, 2025 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Jan 12, 2025 Accepting new patients
Henry Ford Wyandotte Hospital Obstetrics & Gynecology CurrentSince Jan 12, 2025 Accepting new patients
Henry Ford Health System CurrentSince Jul 1, 2024 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Henry Ford Health System Past Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

25150 Ford Rd
Ste 200
Dearborn Heights, MI 48127
Phone (313) 277-0400

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

16815 E Jefferson Ave
Ste 230
Grosse Pointe, MI 48230

16815 E Jefferson Ave
Ste 210
Grosse Pointe, MI 48230
Phone (313) 277-0400

29751 Little Mack Ave
Ste B
Roseville, MI 48066

110 E 2nd St
Royal Oak, MI 48067
Phone (248) 546-2110

51221 Schoenherr Rd
Ste 201
Shelby Township, MI 48315
Phone (586) 254-3545

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

Interoperability endpoints

  • Direct secure messaging: jleahy1036141@direct.hfhs.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1396008405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "SUITE 233",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-551-0417",
            "fax_number": "248-551-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "SUITE 233",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-551-0417",
            "fax_number": "248-551-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "4301101353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.