Organization Active NPI

Lana Kawa MD PC

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1922236918
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301081236 Issued in MI
Legal business name
LANA KAWA MD PC
Practice address
44201 Dequindre Rd
Troy, MI 48085-1117
Phone
(248) 828-5100
NPI assigned
Jun 29, 2009
Last updated
Feb 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Ms. Lana Kawa, MDNPI 1073697199
Title
Owner/MD
Phone
(248) 229-2996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301081236 MI Primary

Addresses

Primary practice location

44201 Dequindre Rd
Troy, MI 48085-1117

Mailing address

4965 Adams Pointe CT
Troy, MI 48098-4111
Phone (586) 979-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090729000417 MI Part B Supplier - Clinic/Group Practice 0244383818 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling Heights, MI; Troy, MI

National Provider Directory

National Provider Directory

Locations

35200 Dequindre Rd
Ste 500
Sterling Heights, MI 48310
Phone (248) 651-0800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1922236918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4965 ADAMS POINTE CT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984111",
            "telephone_number": "586-979-5100",
            "fax_number": "586-795-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851117",
            "telephone_number": "248-828-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANA KAWA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "KAWA",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "248-229-2996",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301081236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.