Individual provider Active NPI

Mark D Lebeda, M.D.

  • Otolaryngology Physician
  • East Lansing, MI
National Provider Identifier
1679537278
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ML068883 Issued in MI
Practice address
1500 Abbot Rd
Suite 400
East Lansing, MI 48823-1222
Phone
(517) 332-0100
Fax
(517) 332-0356
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ML068883 MI Primary

Addresses

Primary practice location

1500 Abbot Rd
Suite 400
East Lansing, MI 48823-1222

Mailing address

1500 Abbot Rd
Suite 400
East Lansing, MI 48823-1222
Phone (517) 332-0100

Other identifiers 1

IdentifierTypeStateIssuer
3355493MedicaidMI

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
I20110215000779 MI Practitioner - Otolaryngology 9032161807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Iowa, RJ & L Carver College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Michigan Ear Nose and Throat PCGroup PAC ID 1052363801, 25 clinicians

Practice addresses (Care Compare)

1500 Abbott Rd
Suite 400
East Lansing, MI 48823-1956
Phone (517) 324-4911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.49 of 100Reported as group
Quality
89.95
Promoting interoperability
84
Improvement activities
40
Cost
68.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML068883MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Ear Nose and Throat PC Otolaryngology CurrentSince Jul 1, 1997 Accepting new patients
Mid Michigan Ear Nose & Throat, P.C. PastSince Jul 1, 1997 Accepting new patients

Locations

1500 Abbott Rd
Ste 400
East Lansing, MI 48823
Phone (517) 324-4911

Interoperability endpoints

  • Direct secure messaging: marklebeda@mmentpc.allscriptsdirect.net

Organizations & group practices 2

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 3

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1679537278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ABBOT RD",
            "address_2": "SUITE 400",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231222",
            "telephone_number": "517-332-0100",
            "fax_number": "517-332-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ABBOT RD",
            "address_2": "SUITE 400",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231222",
            "telephone_number": "517-332-0100",
            "fax_number": "517-332-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBEDA",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "ML068883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3355493",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.