LEDESHA MARIE DOROTHY MADURO D.D.S.
NPI 1174982458
Dentist in Richmond, MI

Q: What is Ledesha Maduro's NPI number?

The NPI number for Ledesha Maduro is 1174982458. It was assigned to this individual provider in the NPPES registry on February 16, 2016.

Q: What is Ledesha Maduro's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Ledesha Maduro was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 16, 2016PECOS Enrolled

67184 GRATIOT AVE, RICHMOND, MI 48062(954) 298-3603 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2024, Jul 1, 2017, Feb 16, 2016 (3 updates tracked since 2016).

On this page

About Ledesha Marie Dorothy Maduro D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEDESHA MARIE DOROTHY MADURO D.D.S. (NPI 1174982458) is an individual dentist in Richmond, Michigan, licensed in Michigan (2901602045) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Wales.

NPPES Registry Identity

NPI1174982458

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameLEDESHA MARIE DOROTHY MADUROCredential: D.D.S.

Location Address67184 GRATIOT AVERichmond, MI 48062-1914

Mailing Address67184 Gratiot AveRichmond, MI 48062-1914 · (586) 727-5898

Phone(954) 298-3603

Sole ProprietorNo

Enumeration DateFebruary 16, 2016

Last NPPES UpdateMay 20, 20243 updates tracked since enumeration

NPPES CertifiedMay 20, 2024

✔ NPI 1174982458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in MI · 2901602045✔ Licensed in FL · DN22776

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

67184 GRATIOT AVE, Richmond, MI 48062

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Secondary Practice Location 1

Location 124185 US HWY 27 NorthLake Wales, FL 33853 · Phone (863) 676-6200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ledesha Marie Dorothy Maduro D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ledesha Maduro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Genesis Community Health, Inc.

1,132 mi

Federally Qualified Health Center (FQHC)

709 S FEDERAL HWY STE 3
Boynton Beach, FL 33435

Reassigned Medicare billing, Florida enrollment
19 clinicians in this Medicare group

NPI 1447578125 (561) 735-6553

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZENA ALSARAF DDS

Dentist (General Practice)

67184 GRATIOT AVE
RICHMOND, MI 48062

Macomb County (586) 727-5898

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ledesha Maduro's NPI number?

The NPI number for Ledesha Maduro is 1174982458. It was assigned to this individual provider in the NPPES registry on February 16, 2016.

Where is Ledesha Maduro located?

Ledesha Maduro practices at 67184 Gratiot Ave, Richmond, MI 48062. The listed phone number is (954) 298-3603.

What is Ledesha Maduro's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ledesha Maduro enrolled in Medicare?

Yes. Ledesha Maduro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ledesha Maduro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ledesha Maduro reassigns Medicare benefits to Genesis Community Health, Inc. (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ledesha Maduro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ledesha Maduro accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 22 other insurers list Ledesha Maduro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ledesha Maduro was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.