Individual provider Active NPI

Thelma Flores-Laja, MD

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1467533455
Registry record updated Jun 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301047471 Issued in MI
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

Updated by the provider on Jun 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
021934OtherMIDWEST HEALTH PLAN
129455OtherCARE CHOICES
912188529OtherMIBCBCSM
104490616MedicaidMI

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.

Verify at the official NPI Registry.