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

Jonathan William Lezotte, DO

Individual provider Surgical Critical Care Physician · NPI 1144647330

Jonathan William Lezotte, DO is a General Surgery in Troy, Michigan. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2014, 12 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
MI
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

44199 Dequindre Rd Ste 315
Troy, MI 48085-1128
Phone: (248) 964-1170
Fax: (248) 964-1188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5101025075 (MI)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 5101025075 (MI)

Record details

NPI number1144647330
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 25, 2014
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2014 (12 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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