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

Leila Ettefagh, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1861887911

Leila Ettefagh, MD is a Pain Management in Novi, Michigan. Qualified in 2002, 24 years ago. Practices with The Porretta Center for Orthopaedic Surgery, PLLC, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

26750 Providence Pkwy Ste 200
Novi, MI 48374-1212
Phone: (866) 974-2673
Fax: (866) 939-2673
Show map & directions

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

Additional practice locations (1)

  • 261 Mack Ave Ste 188, Detroit, MI 48201-2417 — (313) 745-4600

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 4301117341 (MI)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 4301117341 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861887911
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2015
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022
Mailing address26750 Providence Pkwy Ste 200, Novi, MI 48374-1212

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice The Porretta Center For Orthopaedic Surgery, Pllc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Novi