Individual provider Active NPI

Alicia G Lumley, MD

  • Neurology Physician
  • Roseville, MI
National Provider Identifier
1730283433
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301081350 Issued in MI
Practice address
25195 Kelly Rd
Suite B
Roseville, MI 48066-4909
Phone
(586) 777-3370
Fax
(586) 777-3380
NPI assigned
Sep 12, 2006
Last updated
Mar 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301081350 MI Primary

Addresses

Primary practice location

25195 Kelly Rd
Suite B
Roseville, MI 48066-4909

Mailing address

25195 Kelly Rd
Suite B
Roseville, MI 48066-4909
Phone (586) 777-3370

Other identifiers 1

IdentifierTypeStateIssuer
4683935MedicaidMI

Other names 1

  • Maria Alicia Guillermina Hernandez Field Other name

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
I20041208000789 MI Practitioner - Neurology 0446216741 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1978
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)

1447 N Harrison St
Saginaw, MI 48602-4727
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
Henry Ford Health St. John Hospital CurrentSince Sep 17, 2017 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital Neurology CurrentSince Sep 17, 2017 Accepting new patients
Covenant Medical Center, Inc Neurology CurrentSince Feb 7, 2024 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Lakeside Neurology P C Neurology CurrentSince Nov 1, 2004 Accepting new patients
Allergy Clinic of Warren PC Past Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

25195 Kelly Rd
Ste B
Roseville, MI 48066
Phone (586) 777-3370

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

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

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

28573 Schoenherr Rd
Warren, MI 48088
Phone (586) 558-5700

Organizations & group practices 7

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.

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1730283433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25195 KELLY RD",
            "address_2": "SUITE B",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664909",
            "telephone_number": "586-777-3370",
            "fax_number": "586-777-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25195 KELLY RD",
            "address_2": "SUITE B",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664909",
            "telephone_number": "586-777-3370",
            "fax_number": "586-777-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMLEY",
        "first_name": "ALICIA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301081350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4683935",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "HERNANDEZ FIELD",
            "middle_name": "ALICIA GUILLERMINA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.