Individual provider Active NPI

Lilian Lai, MD

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1972514107
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301407145 Issued in MI
Practice address
4201 Saint Antoine St # 4K
Detroit, MI 48201-2153
Phone
(313) 745-4858
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301407145 MI Primary

Addresses

Primary practice location

4201 Saint Antoine St # 4K
Detroit, MI 48201-2153

Mailing address

822 Bedford Rd
Grosse Pointe Park, MI 48230-1805
Phone (313) 331-3985

Other identifiers 1

IdentifierTypeStateIssuer
1972514107MedicaidMI

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
I20040604000396 MI Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Emergency Medicine 6103808381 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Emergency Services CurrentSince Sep 1, 2012 Accepting new patients
Lilian Lai MD PC PastSince Jun 4, 2003 Accepting new patients
Covenant Neurological Services, PC Past Accepting new patients
Lequishia Alexander MD PLLC Internal Medicine PastSince Jun 22, 2016 Accepting new patients

Locations

4201 Saint Antoine St
Ste 3R
Detroit, MI 48201
Phone (313) 745-3330

Interoperability endpoints

  • Direct secure messaging: lillian.lai.1@19711.direct.athenahealth.com
  • Direct secure messaging: llai@direct.dmc.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1972514107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 BEDFORD RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301805",
            "telephone_number": "313-331-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST # 4K",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "LILIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301407145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972514107",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.