Active NPI
Klaudia Plawny-Lebenbom, MD
- Internal Medicine Physician
- Shelby Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301066760
- Practice address
- 50505 Schoenherr Rd
# 300
Shelby Township, MI 48315-3140 - Phone
- (586) 726-5566
- Fax
- (586) 726-8085
- NPI assigned
- Oct 4, 2006
- Last updated
- Dec 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301066760 | MI | Primary |
Addresses
Primary practice location
50505 Schoenherr Rd
# 300
Shelby Township, MI 48315-3140
Mailing address
2689 Solution Center
Chicago, IL 60677-0001
Phone (586) 329-1880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41544410 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kplawnylebenbom63237@direct.hfhs.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301066760 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Internal Medicine | Current | Accepting new patients |
| Woods Cardiovascular Interna Medicine Associastes, P.C. | Internal Medicine | Current | Accepting new patients |
| Internal Medicine Associates of Mt. Clemens, PC | Internal Medicine | Current | Accepting new patients |
| Henry Ford Physician Partners | Current | Accepting new patients | |
| Henry Ford Physician Partners | Internal Medicine | Current | Accepting new patients |
| Woods Cardiovascular Internal Medicine Associates, P.C. | Current | Accepting new patients | |
| Henry Ford Macomb Ancillary Services | Current | Accepting new patients | |
| Alliance Health Professionals, PLLC | Internal Medicine | Current | Accepting new patients |
Locations
2689 Solution Ctr
Chicago, IL 60677
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880
50505 Schoenherr Rd
Ste 300
Shelby Township, MI 48315
Phone (586) 323-4530
27550 Schoenherr Rd
Ste 200
Warren, MI 48088
Phone (586) 776-4200
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Mount Clemens, MI
- NPI 1841615648
-
dba Henry Ford Macomb Family Medicine
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
Internal Medicine
-
- Internal Medicine Physician
- Mount Clemens, MI
- NPI 1427703602
-
- Clinical Medical Laboratory
- Mount Clemens, MI
- NPI 1669864708
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
dba Henry Ford Physician Partners - PCS
- Cardiovascular Disease Physician
- Dearborn, MI
- NPI 1366219651
-
- Internal Medicine Physician
- Mount Clemens, MI
- NPI 1306842190
-
- Internal Medicine Physician
- Warren, MI
- NPI 1245317353
-
- Cardiovascular Disease Physician
- Warren, MI
- NPI 1639265895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1972698835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2689 SOLUTION CENTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606770001",
"telephone_number": "586-329-1880",
"fax_number": "586-231-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50505 SCHOENHERR RD",
"address_2": "# 300",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483153140",
"telephone_number": "586-726-5566",
"fax_number": "586-726-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAWNY-LEBENBOM",
"first_name": "KLAUDIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301066760",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41544410",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kplawnylebenbom63237@direct.hfhs.org",
"affiliation": "N",
"address_1": "50505 Schoenherr Rd",
"address_2": "# 300",
"city": "Shelby Township",
"state": "MI",
"country_code": "US",
"postal_code": "483153140",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.