NPI Details
Lisa B. Elconin, M.D. is an internal medicine in West Bloomfield, MI with 37 years of experience. The provider is 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. Lisa B. Elconin, M.D. NPI is 1124095880. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1989
The provider's business location address is:
5777 W MAPLE RD
SUITE 140
WEST BLOOMFIELD, MI
ZIP 48322-267
Phone: (248) 406-1000
Fax: (248) 406-1001
The NPI 1124095880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Coronavirus vaccine 13 (HCPCS:91312)
- Fee covid-19 vac 13 res (HCPCS:0124A)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
- Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
- Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
- Urinalysis, manual test (HCPCS:81002)
- Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
- Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
- Fee covid-19 vac 14 res (HCPCS:0134A)
- Coronavirus vaccine 14 (HCPCS:91313)
The enumeration date for this NPI number is 3/1/2006 and was last updated on 8/5/2011.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | 4301060119 | MICHIGAN | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | F21115 | MEDICARE UPIN | | |
| 2 | N91620035 | MEDICARE ID-TYPE UNSPECIFIED | | |
| 3 | 4619246 | MEDICAID | MICHIGAN | |
