Leonard Ellison Jr MD PC
NPI 1609821537 · Internal Medicine Physician · Southfield, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Leonard Ellison Jr MD PC is a Internal Medicine Physician organization in Southfield, MI (NPI 1609821537).
Provider details
- NPI number
- 1609821537
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leonard Ellison, Owner/Physician(248) 552-9500
- License
- 4301068024 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-22
- Last updated
- 2013-12-27
Frequently asked questions
- What is Leonard Ellison Jr MD PC's NPI number?
- Leonard Ellison Jr MD PC's National Provider Identifier (NPI) is 1609821537, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Leonard Ellison Jr MD PC?
- Leonard Ellison Jr MD PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Leonard Ellison Jr MD PC located?
- Leonard Ellison Jr MD PC's practice location on file with NPPES is 17330 Northland Park Ct, Southfield, MI 48075-4318.
- What is Leonard Ellison Jr MD PC's phone number?
- The practice phone number listed in the NPPES registry for Leonard Ellison Jr MD PC is (248) 552-9500.
- Does Leonard Ellison Jr MD PC accept Medicare?
- Leonard Ellison Jr MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Leonard Ellison Jr MD PC?
- The authorized official listed on Leonard Ellison Jr MD PC's NPPES record is Leonard Ellison, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Leonard Ellison Jr MD PC's NPI active?
- Yes — Leonard Ellison Jr MD PC's NPI (1609821537) is active in the NPPES registry as of the last update on 2013-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.