Individual provider Active NPI

Fred Barry Leff, D.P.M.

  • Podiatrist
  • Southfield, MI
National Provider Identifier
1528091378
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
FL000635 Issued in MI
Practice address
29201 Telegraph Rd
Suite 100
Southfield, MI 48034-1331
Phone
(248) 355-4000
Fax
(248) 355-4047
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X FL000635 MI Primary

Addresses

Primary practice location

29201 Telegraph Rd
Suite 100
Southfield, MI 48034-1331

Mailing address

29201 Telegraph Rd
Suite 100
Southfield, MI 48034-1331
Phone (248) 355-4000

Other identifiers 10

IdentifierTypeStateIssuer
1084800MedicaidMI
121304OtherCARE CHOICES
197722OtherTOTAL HEALTH CARE
M007964-0000OtherTRICARE
MCAREOtherC3270
101775OtherGREAT LAKES HEALTH PLAN
0000159101501OtherUNITED HEALTH CARE
22518OtherOMNICARE
791480566OtherMIRAILROAD MEDICARE
5447570001OtherMIADMINISTAR

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603000249 MI Practitioner - Podiatry 2062494297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendelson Orthopedics PCGroup PAC ID 8426008368, 69 clinicians

Practice addresses (Care Compare)

600 Fort St
Suite 100
Port Huron, MI 48060-3942
Phone (810) 987-9871

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of nail tissue868
Removal or shaving of skin growth206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FL000635MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Podiatry Services P. C. Podiatrist CurrentSince Oct 11, 2018 Accepting new patients
Mendelson Orthopedics PC CurrentSince Jan 1, 2025 Accepting new patients
Mendelson Orthopedics PC Current Accepting new patients
Michfoot Surgeons, P.C. Podiatrist CurrentSince Jul 1, 2012 Accepting new patients
Mendelson Orthopedics PC CurrentSince Jan 1, 2025 Accepting new patients
Michigan Foot & Ankle Surgeons, P.C. Podiatrist PastSince Nov 10, 2003 Accepting new patients
Michigan Foot Surgeons, P.C. Past Accepting new patients

Locations

7684 Solutions Ctr
#777684
Chicago, IL 60677

36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200

600 Fort St
Ste 100
Port Huron, MI 48060
Phone (810) 987-9711

29275 Northwestern Hwy
Ste 207
Southfield, MI 48034
Phone (248) 354-2201

29201 Telegraph Rd
Ste 100
Southfield, MI 48034
Phone (248) 353-9300

35735 Mound Rd
Ste 100
Sterling Heights, MI 48310
Phone (586) 261-1960

500 Stephenson Hwy
#300
Troy, MI 48083
Phone (586) 439-6258

Interoperability endpoints

  • Direct secure messaging: fleff1136001@direct.hfhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1528091378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-355-4000",
            "fax_number": "248-355-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-355-4000",
            "fax_number": "248-355-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFF",
        "first_name": "FRED",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "FL000635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1084800",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "121304",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CARE",
            "identifier": "197722",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "M007964-0000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C3270",
            "identifier": "MCARE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "101775",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0000159101501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNICARE",
            "identifier": "22518",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "791480566",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR",
            "identifier": "5447570001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.