MS. LEAHTHAN FAYE DOMESHEK MD
NPI 1659683225
Plastic Surgery - Surgery of the Hand in Grand Rapids, MI

Active since July 11, 2010PECOS EnrolledAccepts Medicare Assignment
35 MICHIGAN ST NE STE 5201, GRAND RAPIDS, MI 49503(616) 486-5885 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 23, 2022, Oct 31, 2022, Aug 30, 2018 (3 updates tracked since 2018).

About Ms. Leahthan Faye Domeshek Md NPPES

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

MS. LEAHTHAN FAYE DOMESHEK MD (NPI 1659683225) is an individual surgery of the hand provider in Grand Rapids, Michigan, licensed in Michigan (4301507922) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Duke University School Of Medicine (2010).

NPPES Registry Identity

NPI1659683225
Entity TypeIndividualFemale
Primary Taxonomy2082S0105X
Provider Legal NameMS. LEAHTHAN FAYE DOMESHEKCredential: MD
Location Address35 MICHIGAN ST NE STE 5201Grand Rapids, MI 49503-2530
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2010
Enumeration DateJuly 11, 2010
Last NPPES UpdateNovember 23, 20223 updates tracked since enumeration
NPPES CertifiedNovember 23, 2022
NPI 1659683225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPlastic Surgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2082S0105X
License Licensed in MI · 4301507922
Definition

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedPlastic SurgeryTaxonomy 208200000X · License 4301507922 (MI)
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License DR.0060955 (CO)
35 MICHIGAN ST NE STE 5201, Grand Rapids, MI 49503

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Leahthan Faye Domeshek Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941438915
PECOS Enrollment IDI20220909001828
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

Social Worker (Clinical)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Speech-Language Pathologist
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Psychologist (Clinical Child & Adolescent)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Psychologist (Clinical Child & Adolescent)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Psychologist (Clinical)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Clinical Neuropsychologist
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Psychologist (Clinical)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659683225, enumerated as an "individual" on July 11, 2010.

The provider is located at 35 MICHIGAN ST NE STE 5201 GRAND RAPIDS, MI 49503 and the phone number is (616) 486-5885.

Plastic Surgery with taxonomy code 2082S0105X and a focus in Surgery of the Hand.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Leahthan Domeshek is affiliated with: SPECTRUM HEALTH.