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Thomas E Ledesma Jr.

Contractor, Home Modifications in Wayne, MI. Individual provider (NPI-1).

NPI number1528958428
StatusActive
Last updated in NPPESJan 12, 2026

Details

NPI
1528958428
Entity type
Individual (NPI-1)
Name
Thomas E Ledesma Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 3, 2025
Certification date
Jan 12, 2026
Last updated
Jan 12, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171WH0202X Contractor, Home Modifications2101210840MIYes

Practice location

4460 Newberry St
Wayne, MI 48184-2108

Phone 734-637-8518

Mailing address

4460 Newberry St
Wayne, MI 48184-2108

Phone 734-637-8518

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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