Active NPI
Leslie Denise Baugh, PA
- Physician Assistant
- Detroit, MI
National Provider Identifier
1942428297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601002565
- Practice address
- 4420 E Davison St
Detroit, MI 48212-1744 - Phone
- (248) 336-4000
- Fax
- (248) 581-8839
- NPI assigned
- Apr 23, 2007
- Last updated
- Sep 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601002565 | MI | Primary |
Addresses
Primary practice location
4420 E Davison St
Detroit, MI 48212-1744
Mailing address
18000 W 9 Mile Rd Ste 200
Southfield, MI 48075-4020
Phone (248) 336-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601002565 | Other | MI | LICENSE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601002565 | MI | MD | Physician Assistant |
Interoperability endpoints
- leslie.baugh.1@33060.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Hamtramck, MI
- NPI 1659145506
-
- Multi-Specialty Clinic/Center
- Ferndale, MI
- NPI 1811226749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1942428297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18000 W 9 MILE RD STE 200",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754020",
"telephone_number": "248-336-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 E DAVISON ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482121744",
"telephone_number": "248-336-4000",
"fax_number": "248-581-8839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUGH",
"first_name": "LESLIE",
"middle_name": "DENISE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601002565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "5601002565",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.