NPIMap

Organization Active NPI

David Leszkowitz DO PC

Doing business as White Lake Family Medicine

  • Family Medicine Physician
  • White Lake, MI
National Provider Identifier
1609095256
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DAVID LESZKOWITZ DO PC
Doing business as
White Lake Family Medicine
Practice address
9178 Highland Rd
Suite 1
White Lake, MI 48386-4619
Phone
(248) 698-1999
Fax
(248) 698-4446
NPI assigned
Apr 24, 2007
Last updated
Nov 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
David Leszkowitz, DO
Title
President
Phone
(248) 698-1999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MI Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

9178 Highland Rd
Suite 1
White Lake, MI 48386-4619

Mailing address

9178 Highland Rd
Suite 1
White Lake, MI 48386-4619
Phone (248) 698-1999

Other identifiers 1

IdentifierTypeStateIssuer
0F37023OtherMIBCBSM

Other names 1

  • White Lake Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101123000767 MI Part B Supplier - Clinic/Group Practice 3577759083 Receives reassigned benefits from 7 practitioners
Practice locations: Pontiac, MI; White Lake, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1609095256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9178 HIGHLAND RD",
            "address_2": "SUITE 1",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483864619",
            "telephone_number": "248-698-1999",
            "fax_number": "248-698-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9178 HIGHLAND RD",
            "address_2": "SUITE 1",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483864619",
            "telephone_number": "248-698-1999",
            "fax_number": "248-698-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LESZKOWITZ DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "LESZKOWITZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-698-1999",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0F37023",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Lake Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White Lake Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.