Active NPI
Leena Ammori, PA-C
- Physician Assistant
- Dearborn, MI
National Provider Identifier
1831674399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601008859
- Practice address
- 2454 Monroe St Ste a
Dearborn, MI 48124-3038 - Phone
- (313) 562-4100
- NPI assigned
- Oct 1, 2018
- Sex
- Female
- Sole proprietor
- No
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Dearborn, MI
- NPI 1336362722
MI
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Audiologist
- Dearborn, MI
- NPI 1982196325
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190708001962 | MI | Practitioner - Physician Assistant | 5294060612 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Physician Assistant | Current | Accepting new patients |
| Danny Kewson M.D. P.C | Past | Accepting new patients |
Locations
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008859 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2454 Monroe St Ste a
Dearborn, MI 48124-3038
Mailing address
2103 Bel Aire
West Bloomfield, MI 48323-1909
Other practice location 1
1030 Harrington St Ste 301
Mount Clemens, MI 48043-2967
Phone (586) 961-6060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2020.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1831674399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 BEL AIRE",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483231909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2454 MONROE ST STE A",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243038",
"telephone_number": "313-562-4100"
}
],
"practiceLocations": [
{
"address_1": "1030 Harrington St Ste 301",
"address_purpose": "LOCATION",
"city": "Mount Clemens",
"state": "MI",
"postal_code": "480432967",
"country_code": "US",
"telephone_number": "586-961-6060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMMORI",
"first_name": "LEENA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-01",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601008859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.