NPIMap

Individual provider Active NPI

Leo R Toomajian III, DO

  • Internal Medicine Physician
  • Shelby Township, MI
National Provider Identifier
1477649762
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101013653 Issued in MI
Practice address
50505 Schoenherr Rd
Suite 300
Shelby Township, MI 48315-3140
Phone
(586) 726-5566
Fax
(586) 726-8085
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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 5101013653 MI Primary

Addresses

Primary practice location

50505 Schoenherr Rd
Suite 300
Shelby Township, MI 48315-3140

Mailing address

50505 Schoenherr Rd
Suite 300
Shelby Township, MI 48315-3140
Phone (586) 726-5566

Other identifiers 1

IdentifierTypeStateIssuer
4351425MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ltoomajian129882@direct.hfhs.org

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
I20110912000719 MI Practitioner - Osteopathic Manipulative MedicinePractitioner - Internal Medicine 7012188667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Henry Ford Physician PartnersGroup PAC ID 8921482605, 79 clinicians

Practice addresses (Care Compare)

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267

50505 Schoenherr Rd
Suite 300
Shelby TWP, MI 48315-3141
Phone (586) 726-5566

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Physician Partners Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Henry Ford Physician Partners CurrentSince Sep 1, 2022 Accepting new patients
Internal Medicine Associates of Mt. Clemens, PC Internal Medicine Current Accepting new patients
Henry Ford Macomb Ancillary Services Current Accepting new patients
Alliance Health Professionals, PLLC Internal Medicine CurrentSince May 15, 2015 Accepting new patients
Woods Cardiovascular Interna Medicine Associastes, P.C. Internal Medicine Current Accepting new patients
Woods Cardiovascular Internal Medicine Associates, P.C. Current Accepting new patients

Locations

2689 Solution Ctr
Chicago, IL 60677

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880

50505 Schoenherr Rd
Ste 300
Shelby Township, MI 48315
Phone (586) 323-4530

27550 Schoenherr Rd
Ste 200
Warren, MI 48088
Phone (586) 776-4200

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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 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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1477649762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 300",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-726-5566",
            "fax_number": "586-726-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 300",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-726-5566",
            "fax_number": "586-726-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOMAJIAN",
        "first_name": "LEO",
        "middle_name": "R",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101013653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4351425",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ltoomajian129882@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "50505 Schoenherr Rd",
            "address_2": "SUITE 300",
            "city": "Shelby Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483153140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.