Individual provider Active NPI

Paul Edward Lavin, M.D.

  • Neurology Physician
  • Detroit, MI
National Provider Identifier
1922539139
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301506531 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(313) 916-2600
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD61544589 WA
Neurology Physician 2084N0400X A192666 CA
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 4301506531 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806

Other practice location 1

4000 Wellness Dr
Midland, MI 48670-1005
Phone (989) 839-3060

Other practice location 2

1611 NW 12th Ave Fl 33136
Miami, FL 33136-1005
Phone (305) 585-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA, OH, WA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220517000358 MI Practitioner - Neurology 9133506991 Reassigns benefits to 4 organizations
I20240227004409 CA Practitioner - Neurology 9133506991 Reassigns benefits to 2 organizations
I20240516000106 OH Practitioner - Neurology 9133506991 Reassigns benefits to 3 organizations
I20240725000381 WA Practitioner - Neurology 9133506991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Kansas School of Med (KC/Wich/Sal), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
Metropolitan HospitalGroup PAC ID 5597651836, 421 clinicians

Practice addresses (Care Compare)

1541 Gull Rd
Kalamazoo, MI 49048-1644
Phone (269) 381-7380

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

5900 Byron Ctr Ave
Wyoming, MI 49519-9606

5900 Byron Ctr Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-3243

5900 Byron Ctr Swave
Wyoming, MI 49519-9606
Phone (616) 252-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A192666CAMDNeurology Physician
4301506531MIMDNeurology Physician
MD61544589WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed Current Accepting new patients
Cep America - Neurology PC Neurology Current Accepting new patients
Somc Medical Care Foundation, Inc. Neurology CurrentSince May 6, 2024 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Apr 30, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jan 1, 2025 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 14, 2024 Accepting new patients
Cep America - Neurology PC Neurology CurrentSince Mar 1, 2024 Accepting new patients
Ascension Medical Group Promed CurrentSince Jul 1, 2025 Accepting new patients
W. a. Foote Memorial Hospital, Inc. Neurology Current Accepting new patients
Cep America - Neurology PC CurrentSince Jul 23, 2024 Accepting new patients
Mount Carmel Healthproviders Two LLC Neurology CurrentSince Jan 9, 2025 Accepting new patients
W.a. Foote Memorial Hospital, Inc Neurology CurrentSince Jan 1, 2025 Accepting new patients
Promed Healthcare CurrentSince Jul 1, 2025 Accepting new patients
Henry Ford Health System Neurology CurrentSince Dec 16, 2024 Accepting new patients
Metropolitan Hospital CurrentSince Oct 1, 2025 Accepting new patients
Cep America - Neurology PC Neurology CurrentSince Mar 1, 2024 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince May 6, 2024 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System CurrentSince Dec 16, 2024 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Jan 9, 2025 Accepting new patients

Locations (25 of 28)

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

2000 Sutter Pl
Davis, CA 95616
Phone (530) 756-6440

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1541 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

1711 27th St
Ste 103A
Portsmouth, OH 45662
Phone (740) 356-6740

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

Interoperability endpoints

  • Direct secure messaging: plavin683099@hisp.ehr.sutterhealth.org
  • Direct secure messaging: plavin125664@mymichiganhealth.midirect.net
  • Direct secure messaging: plavin3494162@direct.trinity-health.org
  • Direct secure messaging: plavin1065801@direct.hfhs.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1922539139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Wellness Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486701005",
            "country_code": "US",
            "telephone_number": "989-839-3060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 NW 12th Ave Fl 33136",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVIN",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61544589",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A192666",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301506531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.