Individual provider

Lakisha Burton Willis, MBA, M.D.

Student in an Organized Health Care Education/Training Program Medicare enrolled

Lakisha Burton Willis, MBA, M.D. is a provider specialising in Student in an Organized Health Care Education/Training Program in Detroit, MI, registered under NPI 1902288962.

Getting there

The practice address on file is 540 E CANFIELD ST, Detroit, MI 48201. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

540 E CANFIELD ST, Detroit, MI 48201 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
4301188560 MI Student in an Organized Health Care…

This provider holds licence 4301188560 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Pathology
PAC ID
3476858556
Enrollment ID
I20160226002213

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Pathology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Student in an Organized Health Care Education/Training Program covers

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. NUCC Health Care Provider Taxonomy, code 390200000X
Student, Health Care Student in an Organized Health Care Education/Training Program

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
390200000X Student in an Organized Health Care Education/Training Program primary
390200000X Student in an Organized Health Care Education/Training Program 4301188560 MI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1902288962 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 25, 2015
Last updatedFeb 23, 2016
StatusActive
Sole proprietorNo
CredentialMBA, M.D.
Practice address 540 E CANFIELD ST
Detroit, MI 48201
(313) 577-1102
Mailing address 4188 OLD DOMINION DR
West Bloomfield, MI 48323
This record was last updated on Feb 23, 2016, roughly 10 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1902288962 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 0 2 2 8 8 9 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 0 2 4 8 7 9 3

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1902288962?
NPI 1902288962 is the National Provider Identifier assigned to Lakisha Burton Willis, MBA, M.D. in Detroit, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Student in an Organized Health Care Education/Training Program cover?
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
How do I contact Lakisha Burton Willis, MBA, M.D.?
The phone number on file with NPPES is (313) 577-1102, last updated Feb 23, 2016. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Lakisha Burton Willis, MBA, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1902288962 a valid number?
Yes. 1902288962 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.