Active NPI
Leonidas P Moschouris, MD
- Pediatrics Physician
- Shelby Township, MI
National Provider Identifier
1407837701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301078575
- Practice address
- 15125 22 Mile Rd
Shelby Township, MI 48315-4406 - Phone
- (586) 532-0599
- Fax
- (586) 566-8967
- NPI assigned
- Nov 14, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301078575 | MI | Primary |
Addresses
Primary practice location
15125 22 Mile Rd
Shelby Township, MI 48315-4406
Mailing address
15125 22 Mile Rd
Shelby Township, MI 48315-4406
Phone (586) 532-0599
Other names 1
- Leonidas Petros Moschouris
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelby Pediatric Associates and Child Lung Center PC | Pediatrics | Past | Accepting new patients |
| Pediatric Clinic, P.C. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- lmoschouris1142217@direct.hfhs.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- New Baltimore, MI
- NPI 1437254448
-
- Pediatrics Physician
- Shelby Township, MI
- NPI 1124051990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407837701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15125 22 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483154406",
"telephone_number": "586-532-0599",
"fax_number": "586-566-8967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15125 22 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483154406",
"telephone_number": "586-532-0599",
"fax_number": "586-566-8967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSCHOURIS",
"first_name": "LEONIDAS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301078575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEONIDAS",
"last_name": "MOSCHOURIS",
"middle_name": "PETROS",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.