Active NPI
Thelma Flores-Laja, MD
- Internal Medicine Physician
- Detroit, MI
National Provider Identifier
1467533455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301047471
- Practice address
- 19141 Greenfield Rd
Detroit, MI 48235-6007 - Phone
- (313) 835-8500
- Fax
- (313) 835-3081
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301047471 | MI | Primary |
Addresses
Primary practice location
19141 Greenfield Rd
Detroit, MI 48235-6007
Mailing address
19141 Greenfield Rd
Detroit, MI 48235-6007
Phone (313) 835-8500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021934 | Other | MIDWEST HEALTH PLAN | |
| 129455 | Other | CARE CHOICES | |
| 912188529 | Other | MI | BCBCSM |
| 104490616 | Medicaid | MI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275782400000",
"number": "1467533455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19141 GREENFIELD RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482356007",
"telephone_number": "313-835-8500",
"fax_number": "313-835-3081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19141 GREENFIELD RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482356007",
"telephone_number": "313-835-8500",
"fax_number": "313-835-3081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES-LAJA",
"first_name": "THELMA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2010-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301047471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST HEALTH PLAN",
"identifier": "021934",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "129455",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBCSM",
"identifier": "912188529",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104490616",
"state": "MI"
}
],
"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 Jun 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.