DERMATOLOGY SPECIALISTS OF CANTON, PLLC
NPI 1003069014
Dermatology in Canton, MI
About Dermatology Specialists Of Canton, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY SPECIALISTS OF CANTON, PLLC (NPI 1003069014) is a healthcare organization registered as a dermatology in Canton, Michigan and active in the NPI registry since November 2008. The organization holds 2 active CLIA laboratory certificates and lists Iltefat H. Hamzavi, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dermatology Specialists Of Canton, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Dermatology Specialists Of Canton, PLLC, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (19)
Canton, MI 48187
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 23D2317197
Dermatology Specialists Of Dexter · Dexter, MICertificate for Provider-Performed Microscopy Procedures (PPMP) 23D2066045
Dermatology Specialists Of Ann Arbor · Ann Arbor, MIFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dermatology Specialists Of Canton, PLLC's NPI number?
The NPI number for Dermatology Specialists Of Canton, PLLC is 1003069014. It was assigned to this organization in the NPPES registry on November 4, 2008.
Where is Dermatology Specialists Of Canton, PLLC located?
Dermatology Specialists Of Canton, PLLC is located at 285 N Lilley Rd, Canton, MI 48187. The listed phone number is (734) 495-1506.
What is Dermatology Specialists Of Canton, PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology Specialists Of Canton, PLLC enrolled in Medicare?
Yes. Dermatology Specialists Of Canton, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Specialists Of Canton, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Specialists Of Canton, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (17) and Nurse Practitioner (2). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Specialists Of Canton, PLLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Dermatology Specialists Of Canton, PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dermatology Specialists Of Canton, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dermatology Specialists Of Canton, PLLC was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dermatology Specialists Of Canton, Pllc · NPI 1003069014
Dermatology organization in Canton, Michigan. Organization record, active in the CMS NPPES registry since November 4, 2008.
## Identity
- **NPI:** 1003069014 (Entity type: Organization)
- **Enumerated:** November 4, 2008
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Iltefat Hamzavi, PRESIDENT
## Practice location
- **Address:** 285 N LILLEY RD, Canton, MI 48187-3907
- **Phone:** (734) 495-1506 · **Fax:** (734) 495-1780
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (17), Nurse Practitioner (2); 13 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2011
- **Other identifiers:** Medicare PIN MI1519 (MI); Other DO8072 (MI)
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1003069014) · Data from the CMS NPPES public registry.