Individual provider Active NPI

Leo R Murskyj, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Troy, MI
National Provider Identifier
1659471787
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
4301050124 Issued in MI
Practice address
1950 E Wattles Rd Ste 101
Troy, MI 48085-5099
Phone
(248) 740-8000
Fax
(248) 740-1355
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301050124 MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301050124 MI Primary

Addresses

Primary practice location

1950 E Wattles Rd Ste 101
Troy, MI 48085-5099

Mailing address

1950 E Wattles Street
Suite 101
Troy, MI 48085
Phone (248) 740-8000

Other identifiers 8

IdentifierTypeStateIssuer
1105005681OtherMIBCBSMI PERSONAL PIN
200158731OtherMIWARREN TAX ID
381898230OtherMISCHOENHERR TAX ID
4218953MedicaidMI
110E011830OtherMISCHOENHERR BCBS GR PIN
4749035MedicaidMI
0E00425OtherMIBLUE CROSS BLUE SHIELD OF MI
700E001650OtherMIWARREN BCBS GR PIN

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
I20060228000071 MI Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2668488784 Reassigns benefits to 2 organizations
Practice locations: Troy, MI

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

700 Cooper Ave
Saginaw, MI 48602-5383
Phone (989) 583-4220

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leo R Murskyj MD PLC Internal Medicine CurrentSince Nov 26, 2017 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Oct 26, 2016 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Covenant Medical Center, Inc Internal Medicine CurrentSince Oct 26, 2016 Accepting new patients

Locations

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

1950 E Wattles Rd
Ste 101
Troy, MI 48085
Phone (248) 238-8374

Interoperability endpoints

  • Direct secure messaging: lmurskyj47208@direct.covenanthealthcare.com

Organizations & group practices 4

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 1

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659471787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 E WATTLES STREET",
            "address_2": "SUITE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-740-8000",
            "fax_number": "248-740-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E WATTLES RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855099",
            "telephone_number": "248-740-8000",
            "fax_number": "248-740-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURSKYJ",
        "first_name": "LEO",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301050124",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301050124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI PERSONAL PIN",
            "identifier": "1105005681",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WARREN TAX ID",
            "identifier": "200158731",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOENHERR TAX ID",
            "identifier": "381898230",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4218953",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOENHERR BCBS GR PIN",
            "identifier": "110E011830",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4749035",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MI",
            "identifier": "0E00425",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WARREN BCBS GR PIN",
            "identifier": "700E001650",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.