Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Carlos J Ledezma, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1255598579

Dr. Carlos J Ledezma, MD is a Diagnostic Radiology in Dearborn, Michigan. Graduated from Harvard Medical School in 2005, 21 years ago. Practices with Beverly Radiology Medical Group III, a 330-clinician group and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
21
Trained at
Harvard Medical School
Licensed in
CA, MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4700 Schaefer Rd
Dearborn, MI 48126-3698
Phone: (313) 581-2600
Fax: (313) 581-0228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A140296 (CA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 4301100043 (MI)

Record details

NPI number1255598579
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2008
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2005 (21 years in practice)
Group practice Beverly Radiology Medical Group Iii — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations26 on file with Medicare

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