DR. LEONARD EUGENE ELLISON JR. MD
NPI 1679575328
Internal Medicine in Southfield, MI

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
17330 NORTHLAND PARK CT, SOUTHFIELD, MI 48075(248) 552-9500(248) 552-8144 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Leonard Eugene Ellison Jr. Md NPPES

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

DR. LEONARD EUGENE ELLISON JR. MD (NPI 1679575328) is an individual internal medicine provider in Southfield, Michigan, licensed in Michigan (4301068024) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and is a graduate of Wayne State University School Of Medicine (1996).

NPPES Registry Identity

NPI1679575328
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LEONARD EUGENE ELLISON JR.Credential: MD
Location Address17330 NORTHLAND PARK CTSouthfield, MI 48075-4318
Mailing Address17330 Northland Park CtSouthfield, MI 48075-4318 · (248) 552-9500 · Fax (248) 552-8144
Fax(248) 552-8144
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 1996
Enumeration DateAugust 12, 2005
Last NPPES UpdateAugust 27, 2013
NPI 1679575328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301068024
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
17330 NORTHLAND PARK CT, Southfield, MI 48075

Other Identifiers 5

Other1106353112MI · Bcbs
Medicare PINP09030001MI
Medicaid1679575328MI
Medicare PINMI2371001MI
Medicare UPINA76736MI

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

Dr. Leonard Eugene Ellison Jr. 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 ID5395631188
PECOS Enrollment IDI20040227000124
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,455 services122 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
276 services67 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
135 services86 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
129 services86 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
124 services19 patients
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
118 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers14 claims50 services$6.19 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
2 suppliers36 claims3,332 services$0.37 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
2 suppliers28 claims1,642 services$6.25 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier21 claims630 services$4.50 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers13 claims25 services$61.15 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
1 supplier12 claims72 services$37.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center (Physical Therapy)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Clinic/Center (Health Service)
17330 NORTHLAND PARK CT, STE 100
SOUTHFIELD, MI 48075
Nurse Practitioner (Primary Care)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Nurse Practitioner
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Social Worker (Clinical)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Physical Medicine & Rehabilitation
17330 NORTHLAND PARK CT, 201
SOUTHFIELD, MI 48075
Clinic/Center (Multi-Specialty)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Clinical Nurse Specialist (Gerontology)
17330 NORTHLAND PARK CT, SUITE 100
SOUTHFIELD, MI 48075

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 Leonard Ellison's NPI number?

The NPI number for Leonard Ellison is 1679575328. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Leonard Ellison located?

Leonard Ellison practices at 17330 Northland Park Ct, Southfield, MI 48075. The listed phone number is (248) 552-9500.

What is Leonard Ellison's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Leonard Ellison enrolled in Medicare?

Yes. Leonard Ellison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Leonard Ellison accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health and 1 other insurer list Leonard Ellison 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.

Is Leonard Ellison affiliated with any hospitals?

According to CMS data, Leonard Ellison is affiliated with Harper University Hospital and Detroit Receiving Hospital.

When was this NPI record last updated?

The NPPES record for Leonard Ellison was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.