Active NPI 1124095880 Individual Practitioner Female Practitioner

Dr. Lisa B. Elconin , MD

Internal Medicine • West Bloomfield, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Elconin, MD is a certified Internal Medicine practicing in West Bloomfield, MI. With approximately 37 years of clinical experience since graduating from Wayne State University School Of Medicine in 1989, Dr. Elconin delivers high-quality medical care to the local community at 5777 W MAPLE RD.

Dr. Elconin is affiliated with Michigan Healthcare Professionals Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5777 W Maple Rd
Suite 140

West Bloomfield, MI 483222267

Telephone 2484061000

Fax 2484061001

Associated Practice Facility / Clinic

🏢 Melvin F Cohen M.d. Pc Facility NPI 1225054844

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in West Bloomfield, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +8.6 yrs vs City Avg

City Avg: 28.4 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

54 Specialists

Practicing in West Bloomfield, MI (6010 Statewide)

Telehealth Adoption Rate

38.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Elconin (37 Years) 37 Yrs

West Bloomfield Specialty Average (28.4 Years) 28.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	456	274	$110.13	$91.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	294	174	$146.56	$128.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	219	219	$207.69	$129.64
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	212	141	$20.00	$16.48
93000 Routine ekg using at least 12 leads including interpretation and report	100	98	$30.00	$14.47
G0008 Administration of influenza virus vaccine	81	81	$30.00	$29.40
90662 Influenza vaccine split virus, preservative free	76	76	$85.00	$81.82
91320 Sarscv2 vac 30mcg trs-suc im	53	52	$158.77	$152.56
90480 Admn sarscov2 vacc 1 dose	53	52	$45.00	$43.63
99496 Transitional care management services for problem of high complexity	21	17	$327.14	$278.50
G0009 Administration of pneumococcal vaccine	20	20	$30.00	$29.40
81002 Urinalysis, manual test	19	18	$10.00	$3.41
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$270.00	$163.22
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	15	15	$340.00	$288.40
99441 Telephone medical discussion with physician, 5-10 minutes	15	15	$60.00	$56.14
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$30.00	$14.59
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$280.00	$164.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	570	289	$110.14	$91.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	224	140	$144.38	$129.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	222	222	$202.86	$129.71
93000 Routine ekg using at least 12 leads including interpretation and report	118	116	$30.00	$14.77
G0008 Administration of influenza virus vaccine	96	95	$30.00	$29.40
90662 Influenza vaccine split virus, preservative free	91	91	$75.00	$71.93
90480 Admn sarscov2 vacc 1 dose	57	57	$45.00	$41.67
91320 Sarscv2 vac 30mcg trs-suc im	42	42	$163.21	$128.48
99496 Transitional care management services for problem of high complexity	28	25	$330.18	$278.37
G0009 Administration of pneumococcal vaccine	20	20	$30.00	$29.40
81002 Urinalysis, manual test	16	16	$10.00	$3.41
99441 Telephone medical discussion with physician, 5-10 minutes	15	14	$60.00	$35.16
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$270.00	$165.85
91322 Sarscov2 vac 50 mcg/0.5ml im	15	15	$223.00	$143.00
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$297.50	$282.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	526	281	$110.08	$92.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	282	168	$140.00	$130.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	219	219	$195.62	$132.95
93000 Routine ekg using at least 12 leads including interpretation and report	109	108	$30.00	$14.80
G0008 Administration of influenza virus vaccine	79	79	$30.00	$29.40
90662 Influenza vaccine split virus, preservative free	70	70	$75.00	$68.54
91312 Coronavirus vaccine 13	35	35	$0.01	$0.01
0124A Fee covid-19 vac 13 res	35	35	$40.00	$39.20
G0009 Administration of pneumococcal vaccine	23	23	$30.00	$29.57
99496 Transitional care management services for problem of high complexity	22	17	$325.00	$279.52
99441 Telephone medical discussion with physician, 5-10 minutes	21	21	$60.00	$37.55
0064A Adm sarscov2 50mcg/0.25mlbst	18	18	$40.00	$39.62
91306 Sarscov2 vac 50mcg/0.25ml im	18	18	$0.01	$0.01
81002 Urinalysis, manual test	17	16	$10.00	$3.44
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$270.00	$170.52
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$101.43	$69.95
91313 Coronavirus vaccine 14	14	14	$0.01	$0.01
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$280.00	$170.04
0134A Fee covid-19 vac 14 res	14	14	$40.00	$39.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	471	263	$117.73	$93.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	338	186	$150.50	$132.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	211	211	$190.00	$136.28
93000 Routine ekg using at least 12 leads including interpretation and report	124	117	$30.00	$15.41
G0008 Administration of influenza virus vaccine	93	93	$30.00	$17.28
90662 Influenza vaccine split virus, preservative free	86	86	$65.12	$64.96
91300 Sarscov2 vac 30mcg/0.3ml im	56	56	$0.01	$0.01
0003A Adm sarscov2 30mcg/0.3ml 3rd	56	56	$40.00	$40.00
91301 Sarscov2 vac 100mcg/0.5ml im	24	22	$0.01	$0.01
0013A Adm sarscov2 100mcg/0.5ml3rd	20	20	$40.00	$40.00
81002 Urinalysis, manual test	19	18	$7.68	$3.48
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$270.00	$171.76
G0009 Administration of pneumococcal vaccine	17	17	$30.00	$17.28
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$30.00	$15.41
99496 Transitional care management services for problem of high complexity	12	11	$325.00	$263.98
91303 Sarscov2 vac ad26 .5ml im	11	11	$0.01	$0.01
0031A Adm sarscov2 vac ad26 .5ml	11	11	$45.00	$40.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	448	238	$91.14	$77.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	171	$133.00	$112.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	175	175	$190.00	$120.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	142	128	$15.00	$7.70
80048 Blood test, basic group of blood chemicals (calcium, total)	134	123	$15.00	$8.39
80076 Liver function blood test panel	128	119	$15.00	$8.10
80061 Blood test, lipids (cholesterol and triglycerides)	126	120	$20.00	$13.27
84443 Blood test, thyroid stimulating hormone (TSH)	118	114	$25.00	$16.67
G0008 Administration of influenza virus vaccine	109	108	$30.00	$17.05
82306 Vitamin d-3 level	100	98	$45.00	$29.35
93000 Routine ekg using at least 12 leads including interpretation and report	100	96	$30.00	$17.87
90662 Influenza vaccine split virus, preservative free	98	97	$64.74	$60.67
82550 Creatine kinase (cardiac enzyme) level, total	66	62	$10.00	$6.46
81001 Manual urinalysis test with examination using microscope, automated	61	51	$6.00	$3.15
81003 Automated urinalysis test	60	60	$5.00	$2.23
83036 Hemoglobin A1C level	60	51	$20.00	$9.64
82607 Cyanocobalamin (vitamin B-12) level	40	40	$25.00	$14.96
G0009 Administration of pneumococcal vaccine	33	33	$30.00	$16.98
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$262.73	$172.54
99422 Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes	20	19	$76.25	$31.62
82043 Urine microalbumin (protein) level	19	19	$10.00	$5.72
90670 Pneumococcal vaccine for injection into muscle	17	17	$235.00	$223.15
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$125.00	$118.42
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	16	16	$30.00	$17.85
83540 Iron level	15	14	$10.00	$6.41
84466 Transferrin (iron binding protein) level	15	14	$20.00	$12.64
82728 Ferritin (blood protein) level	15	14	$20.00	$13.50
81002 Urinalysis, manual test	15	15	$6.00	$3.47
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$280.00	$176.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	607	261	$116.86	$75.63
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	345	273	$15.00	$8.46
80048 Blood test, basic group of blood chemicals (calcium, total)	316	268	$15.00	$9.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	162	$170.02	$110.45
80076 Liver function blood test panel	251	228	$15.00	$8.90
80061 Blood test, lipids (cholesterol and triglycerides)	249	218	$20.00	$14.53
84443 Blood test, thyroid stimulating hormone (TSH)	229	211	$25.00	$18.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	185	185	$190.00	$118.97
81001 Manual urinalysis test with examination using microscope, automated	157	134	$7.96	$3.45
82306 Vitamin d-3 level	155	154	$45.00	$32.23
93000 Routine ekg using at least 12 leads including interpretation and report	125	121	$30.00	$17.43
81003 Automated urinalysis test	121	113	$5.00	$2.42
G0008 Administration of influenza virus vaccine	118	118	$30.00	$16.73
82550 Creatine kinase (cardiac enzyme) level, total	118	100	$10.00	$7.09
82607 Cyanocobalamin (vitamin B-12) level	117	106	$25.00	$16.41
83036 Hemoglobin A1C level	110	67	$20.00	$10.57
90662 Influenza vaccine split virus, preservative free	108	108	$59.77	$54.77
G0009 Administration of pneumococcal vaccine	42	42	$30.00	$16.73
84439 Thyroxine (thyroid chemical), free	39	32	$15.00	$9.82
81015 Urinalysis using microscope	36	35	$6.00	$3.32
82728 Ferritin (blood protein) level	36	29	$20.00	$14.85
83540 Iron level	36	29	$10.00	$7.05
84466 Transferrin (iron binding protein) level	35	28	$20.00	$13.90
99496 Transitional care management services for problem of high complexity	27	25	$325.00	$228.94
84450 Liver enzyme (sgot), level	25	22	$10.00	$5.63
84460 Liver enzyme (sgpt), level	25	22	$10.00	$5.77
90670 Pneumococcal vaccine for injection into muscle	24	24	$228.13	$209.77
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$263.04	$170.40
85652 Red blood cell sedimentation rate, to detect inflammation, automated	22	20	$5.00	$2.94
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	21	21	$30.00	$17.60
80053 Blood test, comprehensive group of blood chemicals	20	19	$20.00	$11.51
81002 Urinalysis, manual test	20	17	$9.00	$3.41
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$123.06	$110.87
G0103 Prostate cancer screening; prostate specific antigen test (psa)	15	15	$30.00	$20.03
94640 Inhalation treatment for airway obstruction or sputum production	15	13	$30.00	$18.30
83735 Magnesium level	15	15	$10.00	$7.29
83690 Lipase (fat enzyme) level	13	11	$10.00	$7.50
82150 Amylase (enzyme) level	12	11	$10.00	$7.06
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$280.00	$175.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	564	269	$112.72	$74.20
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	296	229	$15.00	$9.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	281	167	$162.28	$108.76
80048 Blood test, basic group of blood chemicals (calcium, total)	259	213	$15.00	$10.19
80061 Blood test, lipids (cholesterol and triglycerides)	228	198	$20.00	$16.20
80076 Liver function blood test panel	222	201	$14.17	$9.83
84443 Blood test, thyroid stimulating hormone (TSH)	220	197	$25.00	$20.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	205	205	$190.00	$117.97
82306 Vitamin d-3 level	157	156	$45.00	$35.82
G0008 Administration of influenza virus vaccine	148	147	$30.00	$20.55
93000 Routine ekg using at least 12 leads including interpretation and report	140	134	$30.00	$17.42
81003 Automated urinalysis test	138	125	$5.00	$2.71
90662 Influenza vaccine split virus, preservative free	137	137	$55.00	$52.27
82550 Creatine kinase (cardiac enzyme) level, total	126	108	$10.00	$7.88
83036 Hemoglobin A1C level	121	70	$20.00	$11.75
81001 Manual urinalysis test with examination using microscope, automated	118	104	$10.00	$3.84
82607 Cyanocobalamin (vitamin B-12) level	93	76	$25.00	$18.24
83540 Iron level	45	36	$10.00	$7.83
84466 Transferrin (iron binding protein) level	45	36	$20.00	$15.44
82728 Ferritin (blood protein) level	43	34	$20.00	$16.49
G0009 Administration of pneumococcal vaccine	33	33	$30.00	$20.55
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$20.00	$16.22
G0103 Prostate cancer screening; prostate specific antigen test (psa)	25	25	$30.00	$22.26
99496 Transitional care management services for problem of high complexity	25	20	$317.80	$236.46
84450 Liver enzyme (sgot), level	24	20	$10.00	$6.26
84460 Liver enzyme (sgpt), level	23	20	$10.00	$6.41
84439 Thyroxine (thyroid chemical), free	22	21	$15.00	$10.91
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	21	21	$30.00	$19.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$116.67	$105.59
82565 Blood creatinine level	18	18	$10.00	$6.20
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	18	15	$10.00	$8.49
84520 Urea nitrogen level to assess kidney function	17	17	$10.00	$4.78
90670 Pneumococcal vaccine for injection into muscle	15	15	$218.00	$198.57
85652 Red blood cell sedimentation rate, to detect inflammation, automated	15	13	$5.00	$3.26
94640 Inhalation treatment for airway obstruction or sputum production	12	11	$30.00	$18.84
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$270.00	$169.34
80053 Blood test, comprehensive group of blood chemicals	11	11	$20.00	$12.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	558	259	$107.20	$73.48
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	281	217	$15.00	$10.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	265	158	$156.74	$108.22
80048 Blood test, basic group of blood chemicals (calcium, total)	261	215	$15.00	$8.15
80076 Liver function blood test panel	218	189	$10.00	$5.21
80061 Blood test, lipids (cholesterol and triglycerides)	217	189	$20.00	$10.16
84443 Blood test, thyroid stimulating hormone (TSH)	213	184	$25.00	$22.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	163	163	$190.00	$116.68
G0008 Administration of influenza virus vaccine	147	146	$30.00	$25.35
82306 Vitamin d-3 level	142	137	$45.00	$39.80
90662 Influenza vaccine split virus, preservative free	138	137	$46.16	$44.53
81003 Automated urinalysis test	137	121	$5.00	$3.02
93000 Routine ekg using at least 12 leads including interpretation and report	130	121	$30.00	$17.28
83036 Hemoglobin A1C level	124	72	$20.00	$13.05
82550 Creatine kinase (cardiac enzyme) level, total	123	105	$10.00	$4.44
81001 Manual urinalysis test with examination using microscope, automated	115	91	$10.00	$4.26
82607 Cyanocobalamin (vitamin B-12) level	62	51	$25.00	$20.27
G0009 Administration of pneumococcal vaccine	61	61	$30.00	$24.93
82728 Ferritin (blood protein) level	38	27	$20.00	$18.33
84466 Transferrin (iron binding protein) level	36	27	$20.00	$15.68
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	36	36	$100.00	$95.90
99496 Transitional care management services for problem of high complexity	30	28	$310.00	$225.68
84460 Liver enzyme (sgpt), level	28	25	$10.00	$3.39
84450 Liver enzyme (sgot), level	28	25	$10.00	$3.39
90670 Pneumococcal vaccine for injection into muscle	25	25	$205.20	$180.02
G0103 Prostate cancer screening; prostate specific antigen test (psa)	19	19	$30.00	$24.73
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$270.00	$167.39
83540 Iron level	17	15	$10.00	$8.70
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$280.00	$172.28
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	14	14	$30.00	$21.38
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	14	14	$30.00	$17.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	11	$35.00	$25.52
85652 Red blood cell sedimentation rate, to detect inflammation, automated	12	12	$5.00	$3.63
82746 Folic acid level	11	11	$25.00	$19.77

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MI 4301060119

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4619246 (MI)

Hospital & Practice Group Affiliations

Michigan Healthcare Professionals Pc

27900 Grand River Ave, Farmington Hills, MI 483365965

Phone: 2484770552

Michigan Healthcare Professionals Pc

5777 W Maple Rd, West Bloomfield, MI 483222268

Phone: 2484061000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Maribeth Knight , DO

Internal Medicine

NPI 1083681365

Doctor of Osteopathic Medicine (D.O.)

Dr. Donovan Gappy , MD

Internal Medicine

NPI 1437633385

Doctor of Medicine (M.D.)

Dr. Amy Goldfaden , MD

Internal Medicine

NPI 1801863188

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2011

Registered at 5777 W MAPLE RD, SUITE 140, WEST BLOOMFIELD, MI 483222267 (Tel: 2484061000)

📍

Updated Business Mailing Address August 05, 2011

Registered at 5777 W MAPLE RD, SUITE 140, WEST BLOOMFIELD, MI 483222267 (Tel: 2484061000)

👤

Provider Name / Credentials Updated August 05, 2011

Recorded as LISA ELCONIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2011

Internal Medicine (License #4301060119 in MI)

🟢

Initial NPI Registration & Enumeration March 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124095880

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 01, 2006

Last Update: August 05, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5777 W Maple Rd, Suite 140

West Bloomfield, MI 483222267

Phone: 2484061000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.