DR. LENA DERANI (MD) – Neurology Physician, NPI 1417211780

DR. LENA DERANI (MD) is a healthcare provider. based in Grosse pointe woods, Michigan. specializing in NEUROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301100786 (MI). The NPI Number for DR. LENA DERANI (MD) is 1417211780

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. LENA DERANI (MD)
NPI
1417211780
Phone
Not provided
Address
19251 MACK AVE
Enumeration Date
1 July 2012
Last Update Date
28 July 2025

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7083610220
Graduation Year
2012 (14 years ago)
PAC ID
2264735059
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20160908000228
Address ID
IL604631083PA11824HWYX301
Telehealth
Yes

Contacts

Secure Messaging
lderani300959@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:13State licenses:2Other names

965 NEUROLOGY in MI

Provider Addresses for DR. LENA DERANI (MD)

  • 19251 MACK AVE

    SUITE 340

    GROSSE POINTE WOODS, MI 482362893

    Phone:

    Type: Mailing

  • 29373 NETWORK PL

    CHICAGO, IL 606731293

    Phone:

    Type: Mailing

  • 11824 SOUTHWEST HWY STE 100

    PALOS HEIGHTS, IL 604631083

    Phone: (708) 361-0222

    Type: Location

  • 9701 W 56TH CT

    COUNTRYSIDE, IL 605257325

    Phone: (248) 808-2057

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 327 Open Payments records for all available years, with a total value of $7,971.

Total Amount is formed as General ($7,971) + Research ($0) + Ownership ($0) = $7,971.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($1,332).

Total Amount

$7,971

General + Research + Ownership

Payments

327

Total payment records

General Amount

$7,971

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160908000228INeurologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes182120$0
99205New patient office or other outpatient visit, 60-74 minutes4949$0
99214Established patient office or other outpatient visit, 30-39 minutes2320$0
36415Insertion of needle into vein for collection of blood sample1615$0
View full utilization report →

Insurance plans in this area (ZIP 48236)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810800935View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. LENA DERANI (MD)?
For DR. LENA DERANI (MD), use NPI 1417211780 as the unique 10-digit identifier.
Is there an active status for DR. LENA DERANI (MD)?
For scheduling context, DR. LENA DERANI (MD) is shown as active in the registry.
How would a patient describe DR. LENA DERANI (MD)'s focus?
For DR. LENA DERANI (MD), the primary taxonomy reads as Neurology Physician. Clinical services aligned with this taxonomy classification.
Is DR. LENA DERANI (MD) associated with Grosse Pointe Woods?
Public fields place DR. LENA DERANI (MD) around Grosse Pointe Woods, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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