Active NPI
Lonnie Joe Jr., M.D.
- Internal Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301041569
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382494448 | Other | MI | TAX ID |
| 1490579 | Medicaid | MI | |
| 1106317218 | Other | MI | BLUE 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301041569 | MI | MD | Internal Medicine Physician |
| LJ041569 | MI | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kamran F. Sheikh MD PC | Internal Medicine | Current | Accepting new patients |
| VHS Physicians of Michigan | Internal Medicine | Current | 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
- ljoe1133435@direct.hfhs.org
- 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.
-
- Family Medicine Physician
- Farmington Hills, MI
- NPI 1558588772
-
dba DMC Medical Group
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
-
- Internal Medicine Physician
- Dearborn Heights, MI
- NPI 1841805173
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Novi, MI
- NPI 1255505863
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.