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

Q: What is Leahthan Domeshek's NPI number?

The NPI number for Leahthan Domeshek is 1659683225. It was assigned to this individual provider in the NPPES registry on July 11, 2010.

Q: What is Leahthan Domeshek's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

Q: When was this NPI record last updated?

The NPPES record for Leahthan Domeshek was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 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: August 16, 2026.

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

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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

Phone(616) 486-5885

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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.

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