Individual provider Active NPI

Lonnie Joe Jr., M.D.

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1972657260
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301041569 Issued in MI
Practice address
22255 Greenfield Rd
Ste 280
Southfield, MI 48075-3712
Phone
(248) 557-5227
Fax
(248) 557-1732
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X LJ041569 MI
Internal Medicine Physician 207R00000X 4301041569 MI Primary

Addresses

Primary practice location

22255 Greenfield Rd
Ste 280
Southfield, MI 48075-3712

Mailing address

22255 Greenfield Rd
Ste 280
Southfield, MI 48075-3712
Phone (248) 557-5227

Other identifiers 3

IdentifierTypeStateIssuer
382494448OtherMITAX ID
1490579MedicaidMI
1106317218OtherMIBLUE CROSS BLUE SHIELD

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
I20071126000163 MI Practitioner - Internal Medicine 5496843682 Reassigns benefits to 3 organizations
Practice locations: Southfield, MI

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Michigan Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Medical Centre PCGroup PAC ID 5597668947, 13 clinicians

Practice addresses (Care Compare)

29201 Telegraph Rd
Suite 404
Southfield, MI 48034-7647
Phone (248) 450-3507

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301041569MIMDInternal Medicine Physician
LJ041569MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kamran F. Sheikh MD PC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
VHS Physicians of Michigan Internal Medicine CurrentSince Dec 7, 2018 Accepting new patients
Tel-12 Pharmacy LLC Past Accepting new patients
Halo Tele-Joy PLLC Internal Medicine Past Accepting new patients

Locations

22711 Grand River Ave
Ste 100
Detroit, MI 48219
Phone (313) 221-9189

22711 Grand River Ave
#100
Detroit, MI 48219
Phone (313) 221-9189

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

6001 W Outer Dr
Ste 205
Detroit, MI 48235
Phone (313) 966-1045

29201 Telegraph Rd
Ste L-01
Southfield, MI 48034
Phone (248) 304-7775

29201 Telegraph Rd
Ste 220
Southfield, MI 48034
Phone (248) 301-9219

29201 Telegraph Rd
Ste 460
Southfield, MI 48034
Phone (248) 206-7511

29201 Telegraph Rd
Ste 404
Southfield, MI 48034
Phone (248) 355-0880

29201 Telegraph Rd
Ste 404N
Southfield, MI 48034
Phone (248) 450-3507

Interoperability endpoints

  • Direct secure messaging: ljoe1133435@direct.hfhs.org
  • Direct secure messaging: lonnie.joe.1@24172.direct.athenahealth.com

Organizations & group practices 5

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 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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1972657260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD",
            "address_2": "STE 280",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753712",
            "telephone_number": "248-557-5227",
            "fax_number": "248-557-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD",
            "address_2": "STE 280",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753712",
            "telephone_number": "248-557-5227",
            "fax_number": "248-557-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOE",
        "first_name": "LONNIE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "LJ041569",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301041569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "382494448",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1490579",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1106317218",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.