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ANDREA CELESTE LIGHTBOURN MD
NPI 1245264209
Obstetrics & Gynecology in Southfield, MI

Active since July 10, 2006PECOS Enrolled
29600 NORTHWESTERN HWY, 104, SOUTHFIELD, MI 48034(248) 258-2332(248) 327-6082 Get Directions Write a Review

NPPES record last updated: February 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Celeste Lightbourn Md NPPES

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

ANDREA CELESTE LIGHTBOURN MD (NPI 1245264209) is an individual obstetrics & gynecology provider in Southfield, Michigan, licensed in Michigan (4301048299) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245264209
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANDREA CELESTE LIGHTBOURNCredential: MD
Location Address29600 NORTHWESTERN HWY, 104Southfield, MI 48034-1016
Mailing Address29600 Northwestern Hwy, 104Southfield, MI 48034-1016 · (248) 258-2332 · Fax (248) 327-6082
Phone(248) 258-2332
Fax(248) 327-6082
Sole ProprietorYes
Enumeration DateJuly 10, 2006
Last NPPES UpdateFebruary 26, 2010
✔ NPI 1245264209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4301048299
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
29600 NORTHWESTERN HWY, Southfield, MI 48034
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Other Identifiers 3

Medicaid4408457MI
Medicare UPINB43190
Medicare PIN0N44020

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Celeste Lightbourn Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48034 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
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 13

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

GEORGE A LIGHTBOURN MD PC
Urology
29600 NORTHWESTERN HWY, SUITE 104
SOUTHFIELD, MI 48034
Oakland County (248) 353-6599
NATIONAL OUTSOURCING SOLUTIONS
Home Health
29600 NORTHWESTERN HWY, SUITE 104
SOUTHFIELD, MI 48034
Oakland County (248) 352-8664
THE CHAIR
Counselor
29600 NORTHWESTERN HWY, STE 100
SOUTHFIELD, MI 48034
Oakland County (313) 258-1809
MR. DAVID A BAKER MSW
Social Worker (Clinical)
29600 NORTHWESTERN HWY, SUITE 100
SOUTHFIELD, MI 48034
Oakland County (248) 353-0050
DR. LEORA PNINA BAR-LEVAV M.D.
Counselor (Mental Health)
29600 NORTHWESTERN HWY, SUITE 100
SOUTHFIELD, MI 48034
Oakland County (248) 353-0050
ULTRA DIAGNOSTIC SERVICES PC
Clinic/Center (Medical Specialty)
29600 NORTHWESTERN HWY, SUITE 106
SOUTHFIELD, MI 48034
Oakland County (313) 258-4855
GROUP PSYCHOTHERAPY, PC
Psychiatry & Neurology (Psychiatry)
29600 NORTHWESTERN HWY, 100B
SOUTHFIELD, MI 48034
Oakland County (248) 353-4818
ERIKO APRILIANDO NP
Nurse Practitioner (Psychiatric/Mental Health)
29600 NORTHWESTERN HWY
SOUTHFIELD, MI 48034
Oakland County (248) 838-3390

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 Andrea Lightbourn's NPI number?

The NPI number for Andrea Lightbourn is 1245264209. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Andrea Lightbourn located?

Andrea Lightbourn practices at 29600 Northwestern Hwy 104, Southfield, MI 48034. The listed phone number is (248) 258-2332.

What is Andrea Lightbourn's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Andrea Lightbourn enrolled in Medicare?

Yes. Andrea Lightbourn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Lightbourn was last updated on February 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.