Michael E Lulenski, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

430107249 Issued in MI

Practice address

22731 Newman St Ste 250
Dearborn, MI 48124-1930

Phone

(248) 344-9110

Fax

(248) 344-9111

NPI assigned

May 25, 2006

Last updated

Nov 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Interventional Radiology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians

Advanced Vein Therapies PLLCGroup PAC ID 5496750523, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.09 of 100Reported as group

Quality

64.18

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12478/brand/1/csg/1/fhir/r4
• Direct secure messaging: michael.lulenski.1@12478.direct.athenahealth.com

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.

• Advanced Vein Therapies PLLC

  • Diagnostic Radiology Physician
  • Novi, MI
  • NPI 1205841640
  Medicare reassignment Care Compare group NPD
• Miller Vein - Dearborn

  • Vascular & Interventional Radiology Physician
  • Novi, MI
  • NPI 1285911156
  NPD (past)
• Novi Vein - Troy, PC

  • Vascular & Interventional Radiology Physician
  • Troy, MI
  • NPI 1740591395

  Diagnostic Radiology

  NPD (past)
• Memorial Hospital of South Bend

  • Rehabilitation Hospital Unit
  • South Bend, IN
  • NPI 1780564781
  NPD (past)
• Northern Indiana Magnetic Resonance Center, LLP

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • South Bend, IN
  • NPI 1447252200
  NPD (past)
• X-Ray Consultants Inc

  • Diagnostic Radiology Physician
  • South Bend, IN
  • NPI 1770536815
  NPD (past)
• XRC Medical Imaging, LLC

  • Diagnostic Radiology Physician
  • South Bend, IN
  • NPI 1609829720
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1780630541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32000 NORTHWESTERN HWY STE 215",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341570",
            "telephone_number": "248-344-9110",
            "fax_number": "248-344-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22731 NEWMAN ST STE 250",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241930",
            "telephone_number": "248-344-9110",
            "fax_number": "248-344-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LULENSKI",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "430107249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4301071249",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Katherine Lucht, LMSW
• Tyler Luchtefeld, PT
• Frederick Lueder, MD
• Valerie J. Lukasik-Bozzo
• James Randolph Lulek, M.D.
• Lumina Pediatric Services
• Luna Mind Wellness LLC (Jennifer Berry)
• Erica R Luna I
• Paul Luna III, MD
• Michelle Lupro

• Vascular & Interventional Radiology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Vascular & Interventional Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.