Active NPI
Leo R Murskyj, MD
- Critical Care Medicine (Internal Medicine) Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 4301050124
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1105005681 | Other | MI | BCBSMI PERSONAL PIN |
| 200158731 | Other | MI | WARREN TAX ID |
| 381898230 | Other | MI | SCHOENHERR TAX ID |
| 4218953 | Medicaid | MI | |
| 110E011830 | Other | MI | SCHOENHERR BCBS GR PIN |
| 4749035 | Medicaid | MI | |
| 0E00425 | Other | MI | BLUE CROSS BLUE SHIELD OF MI |
| 700E001650 | Other | MI | WARREN 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leo R Murskyj MD PLC | Internal Medicine | Current | Accepting new patients |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Covenant Medical Center, Inc | Internal Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
- Internal Medicine Physician
- Troy, MI
- NPI 1942715321
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.