Individual provider Active NPI

Eric Patrick Leikert, D.O.

  • Family Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1942592951
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101019116 Issued in MI
Practice address
28100 Grand River Ave Ste 313
Farmington Hills, MI 48336-5970
Phone
(947) 521-7150
Fax
(248) 426-2473
NPI assigned
May 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 5101019116 MI
Family Medicine Physician 207Q00000X 5101019116 MI Primary

Addresses

Primary practice location

28100 Grand River Ave Ste 313
Farmington Hills, MI 48336-5970

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

146 South Charles Street
Adrian, MI 49221-1478
Phone (517) 366-5000

Other practice location 2

210 N Lafayette St
South Lyon, MI 48178-2048
Phone (248) 437-1744

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eleikert6563628@direct.beaumont.edu

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
I20150623001325 MI Practitioner - Family PracticePractitioner - Other (Physician) 5597076125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

Hospital & facility affiliations

  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory, LLC CurrentSince Jan 1, 2024 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Nov 19, 2018 Accepting new patients
Oakwood Ambulatory LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Promedica Central Corporation of Michigan Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
Henry Ford Health Providence Hospital Family Medicine CurrentSince Nov 19, 2018 Accepting new patients
Botsford General Hospital Past Accepting new patients

Locations

777 Kimole Ln
Ste 220
Adrian, MI 49221
Phone (517) 263-6464

146 S Charles St
Adrian, MI 49221
Phone (517) 366-5000

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

28100 Grand River Ave
Ste 313
Farmington Hills, MI 48336
Phone (248) 615-7150

210 N Lafayette St
South Lyon, MI 48178
Phone (248) 437-1744

22250 Providence Dr
Ste 500
Southfield, MI 48075
Phone (248) 849-3441

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

22250 Providence Dr
Fl 5
Southfield, MI 48075
Phone (248) 849-3441

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

Interoperability endpoints

  • Direct secure messaging: eleikert1665540@epic00.shdirect.org
  • Direct secure messaging: eleikert1139038@direct.hfhs.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1942592951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28100 GRAND RIVER AVE STE 313",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365970",
            "telephone_number": "947-521-7150",
            "fax_number": "248-426-2473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 South Charles Street",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492211478",
            "country_code": "US",
            "telephone_number": "517-366-5000",
            "fax_number": "517-366-5002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 N Lafayette St",
            "address_purpose": "LOCATION",
            "city": "South Lyon",
            "state": "MI",
            "postal_code": "481782048",
            "country_code": "US",
            "telephone_number": "248-437-1744",
            "fax_number": "248-437-3245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIKERT",
        "first_name": "ERIC",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-09",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101019116",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101019116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eleikert6563628@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "28100 Grand River Ave Ste 313",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483365970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.