Lisa Anne Fulgenzi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

LF054789 Issued in MI

Practice address

26711 Woodward Ave Ste 103
Huntington Woods, MI 48070

Phone

(248) 543-6000

Fax

(248) 543-3770

NPI assigned

Feb 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Wayne State University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDEEBA
• FHIR API: https://fhir4.healow.com/fhir/r4/EDEEBA/Endpoint/EDEEBA
• Direct secure messaging: lisa.fulgenzi@bpcplc.eclinicaldirectplus.com
• Direct secure messaging: lfulgenzi1127356@direct.hfhs.org

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.

• Berkley Primary Care, PLC

  • Internal Medicine Physician
  • Huntington Woods, MI
  • NPI 1316082399
  Medicare reassignment NPD
• Living Well Home Health Care, LLC

  • Registered Nurse
  • Huntington Woods, MI
  • NPI 1831361930
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare affiliation
• St Joseph Mercy Hospital-SMHC

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1962475236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE STE 103",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "48070",
            "telephone_number": "248-543-6000",
            "fax_number": "248-543-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE STE 103",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "48070",
            "telephone_number": "248-543-6000",
            "fax_number": "248-543-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULGENZI",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "LF054789",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "LF054789",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "443604010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise B Ferman, M.A.,CCC-A
• Harvey Finkelberg
• Julia Fisher
• Jenny L Folcik-Gerken, MD
• Marci Frank
• Eva Melissa Gadd, LMSW
• John V Gaul, DDS
• Peter Giles, LPC, CAADC
• Lydia Glibota
• Randal David Gordon, RPH

• Internal Medicine Physician in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.