Leila Lee, ANP-BC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

4704246919 Issued in MI

Practice address

2333 Clawson Ave
Royal Oak, MI 48073-3798

Phone

(248) 390-5276

NPI assigned

Jul 14, 2015

Last updated

Jul 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jose S Evangelista III MD PCGroup PAC ID 1850614041, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jose S Evangelista III MD PC

  • Internal Medicine Physician
  • West Bloomfield, MI
  • NPI 1871998385
  Medicare reassignment Care Compare group NPD
• Advanced Wound Care and Hyperbaric Medicine of Michigan PC

  • Internal Medicine Physician
  • West Bloomfield, MI
  • NPI 1093184129
  Medicare reassignment NPD
• A. Peter Evangelista, MD, PC

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1538616008
  NPD (past)

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1609250133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 CLAWSON AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733798",
            "telephone_number": "248-390-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 CLAWSON AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733798",
            "telephone_number": "248-390-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LEILA",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MI",
            "license": "4704246919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Leduc
• Catherine Lee, PA
• Gormao Lee
• Jennifer A Lee, NP
• Joona Lee, DNP
• Melissa Denise Lee, LMSW
• Michael Sung-Won Lee, MD
• Young Jin Lee
• Younggyeung Lee, PHARMACIST
• Lauren Leege

• Adult Medicine Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Adult Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.