NPIMap

Individual provider Active NPI

Leah Michelle Jenkins Cecil, D.O.

  • Family Medicine Physician
  • Washington Township, MI
National Provider Identifier
1417187014
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101018211 Issued in MI
Practice address
64321 Van Dyke Rd
Washington Township, MI 48095-2578
Phone
(586) 281-6000
Fax
(586) 281-6001
NPI assigned
Jul 17, 2009
Last updated
Oct 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101018211 MI Primary

Addresses

Primary practice location

64321 Van Dyke Rd
Washington Township, MI 48095-2578

Mailing address

64321 Van Dyke Rd
Washington Township, MI 48095-2578
Phone (586) 281-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lcecil25771@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121008000101 MI Practitioner - Family Practice 3476702440 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arcturus Healthcare PLCGroup PAC ID 7012143118, 63 clinicians
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians

Practice addresses (Care Compare)

1701 S Blvd E
Rochester Hills, MI 48307-6116

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

4600 Investment Dr
Troy, MI 48098-6368
Phone 24826750003025

64321 Van Dyke Rd
Washington TWP, MI 48095-2578
Phone (586) 281-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018211MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Jan 1, 2019 Accepting new patients
William Beaumont Hospital Current Accepting new patients
William Beaumont Hospital Family Medicine CurrentSince Jul 31, 2012 Accepting new patients
Arcturus Healthcare PLC Family Medicine CurrentSince May 1, 2017 Accepting new patients
Arcturus Healthcare PLC Family Medicine CurrentSince May 1, 2017 Accepting new patients
Macomb Oakland Adult Medicine PC Current Accepting new patients
William Beaumont Hospital Current Accepting new patients
William Beaumont Hospital CurrentSince Jul 31, 2012 Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

1701 South Blvd E
Ste 290
Rochester Hills, MI 48307
Phone (248) 997-7000

3601 W 13 Mile Rd
Royal Oak, MI 48073

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

30503 Greenfield Rd
Southfield, MI 48076
Phone (248) 691-4732

27070 Hoover Rd
Warren, MI 48093
Phone (248) 423-3144

64321 Van Dyke Rd
Washington Twp, MI 48095
Phone (586) 281-6000

Interoperability endpoints

  • Direct secure messaging: lcecil1228339@epic00.shdirect.org
  • Direct secure messaging: lcecil25771@direct.beaumont.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1417187014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64321 VAN DYKE RD",
            "city": "WASHINGTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480952578",
            "telephone_number": "586-281-6000",
            "fax_number": "586-281-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64321 VAN DYKE RD",
            "city": "WASHINGTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480952578",
            "telephone_number": "586-281-6000",
            "fax_number": "586-281-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECIL",
        "first_name": "LEAH",
        "middle_name": "MICHELLE JENKINS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101018211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcecil25771@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "64321 Van Dyke Rd",
            "city": "Washington Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480952578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington Township, MI

Sources for this page

Verify at the official NPI Registry.