Lederman Kwartowitz Center for Orthopedics – Orthopaedic Surgery Physician, NPI 1003964610
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Lederman Kwartowitz Center for Orthopedics
2300 HAGGERTY RD STE 1110
WEST BLOOMFIELD, MI 483232185
Phone: (248) 669-2000
Fax: (248) 669-2110
Type: Mailing
PO BOX 74008434
CHICAGO, IL 606748434
Phone: (248) 669-2000
Fax: (248) 669-2110
Type: Mailing
31500 Telegraph Rd Ste 235
Bingham Farms, MI 480254315
Phone: (248) 669-2000
Type: Location
Haggerty Road, West Bloomfield Township, Commerce Township, Oakland County, Michigan, 48323, United States
SUITE 1110
WEST BLOOMFIELD, MI 483232184
Phone: (248) 669-2000
Fax: (248) 669-2110
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-12-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (893 days ago).
Enrollment records
2
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20080410000326 | O | Clinic/Group Practice | MI | 2025-11-30 |
| O20201207000260 | O | Physician - General Practice | MI | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48323)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.