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

Mr. Timothy Michael Leicht, PA-C

Individual provider Physician Assistant · NPI 1831472067

Mr. Timothy Michael Leicht, PA-C is a Physician Assistant in Clinton Twp, Michigan. Qualified in 2011, 15 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Michigan and Pennsylvania.

Years since qualifying
15
Licensed in
MI, PA
In the registry since
2011
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

15855 19 Mile Rd
Clinton Twp, MI 48038-3504
Phone: (800) 653-6568
Fax: (313) 876-1305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 18101 Oakwood Blvd, Dearborn, MI 48124-4089 — (313) 593-7000
  • 44555 Woodward Ave Ste 506, Pontiac, MI 48341-5039 — (248) 858-3850
  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 898-4021
  • 44201 Dequindre Rd, Troy, MI 48085-1117 — (248) 964-8432

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007605 (MI)
Physician Assistant Taxonomy 363A00000X · Licence MA055110 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence MA055110 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA055110 (PA)

Record details

NPI number1831472067
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2011
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 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

Other providers in Clinton Twp