Individual provider Active NPI

Christine Lepoudre, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Novi, MI
National Provider Identifier
1497753792
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
007164 Issued in MI
Practice address
25500 Meadowbrook Rd
Ste 220
Novi, MI 48375-1878
Phone
(248) 477-7020
Fax
(248) 477-2440
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 007164 MI Primary

Addresses

Primary practice location

25500 Meadowbrook Rd
Ste 220
Novi, MI 48375-1878

Mailing address

25500 Meadowbrook Rd
Ste 220
Novi, MI 48375-1878
Phone (248) 477-7020

Other identifiers 1

IdentifierTypeStateIssuer
2595379MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christine.lepoudre.1@2309.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070810000634 MI Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 1456452341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.99 of 100Reported as group
Quality
75.61
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007164MIMDOtolaryngology/Facial Plastic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: christine.lepoudre.1@2309.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1497753792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "address_2": "STE 220",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751878",
            "telephone_number": "248-477-7020",
            "fax_number": "248-477-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "address_2": "STE 220",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751878",
            "telephone_number": "248-477-7020",
            "fax_number": "248-477-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPOUDRE",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "007164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2595379",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christine.lepoudre.1@2309.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "25500 Meadowbrook Rd",
            "address_2": "Ste 220",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483751878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.