Individual provider Active NPI

Les I Siegel, M.D.

  • Ophthalmology Physician
  • Southfield, MI
National Provider Identifier
1922083690
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301043660 Issued in MI
Practice address
29201 Telegraph Rd
Suite 301
Southfield, MI 48034-1331
Phone
(248) 356-0098
Fax
(248) 356-0424
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 4301043660 MI
Ophthalmology Physician 207W00000X 4301043660 MI Primary

Addresses

Primary practice location

29201 Telegraph Rd
Suite 301
Southfield, MI 48034-1331

Mailing address

29201 Telegraph Rd
Suite301
Southfield, MI 48034-1331
Phone (248) 356-0098

Other identifiers 1

IdentifierTypeStateIssuer
1843418MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SiegelL@glaucomacenter.updoxdirect.com Health Information Exchange (HIE)

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
I20060626000103 MI Practitioner - Ophthalmology 7618989245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glaucoma Center of Michigan PCGroup PAC ID 5092727610, 5 clinicians

Practice addresses (Care Compare)

29201 Telegraph Rd
Suite 301
Southfield, MI 48034-7646
Phone (248) 356-0098

Merit-based Incentive Payment System (MIPS)

Final score
98.68 of 100Reported as group
Quality
97.35
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery158

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301043660MIMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glaucoma Center of Michigan PC Ophthalmology CurrentSince Jun 13, 2006 Accepting new patients
Consultants in Ophthalmic & Facial Plastic Surgery Ophthalmology Past Accepting new patients

Locations

19853 Outer Dr
Ste 102
Dearborn, MI 48124
Phone (248) 357-5100

1135 W University Dr
Ste 440
Rochester Hls, MI 48307
Phone (248) 218-5557

29201 Telegraph Rd
Ste 301
Southfield, MI 48034
Phone (248) 356-0098

21000 E 12 Mile Rd
Ste 108
St Clr Shores, MI 48081
Phone (248) 357-5100

3455 Livernois Rd
Troy, MI 48083
Phone (248) 619-2020

Interoperability endpoints

  • Direct secure messaging: siegell@glaucomacenter.updoxdirect.com
  • Direct secure messaging: lsiegel@glaucomacenter.intellechartdirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1922083690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD",
            "address_2": "SUITE301",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-356-0098",
            "fax_number": "248-356-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD",
            "address_2": "SUITE 301",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-356-0098",
            "fax_number": "248-356-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "LES",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "MI",
            "license": "4301043660",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301043660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1843418",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SiegelL@glaucomacenter.updoxdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29201 Telegraph Rd",
            "address_2": "SUITE 301",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480341331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.