MIDDLEBELT DERMATOLOGY CENTER
NPI 1013183052
Dermatology in Farmington Hills, MI

Active since April 30, 2008CLIA 23D1051196 · Microscopy
21141 MIDDLEBELT RD, FARMINGTON HILLS, MI 48336(248) 477-7022(248) 477-9370 Get Directions Write a Review

NPPES record last updated: July 22, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Middlebelt Dermatology Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDDLEBELT DERMATOLOGY CENTER (NPI 1013183052) is a healthcare organization registered as a dermatology in Farmington Hills, Michigan and active in the NPI registry since April 2008. The organization holds a CLIA Microscopy certificate valid through February 23, 2028 and lists Michael J Mahon, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1013183052
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMICHAEL MAHON D O PC
Location Address21141 MIDDLEBELT RDFarmington Hills, MI 48336-5516
Mailing Address21141 Middlebelt RdFarmington Hills, MI 48336-5516 · (248) 477-7022 · Fax (248) 477-9370
Fax(248) 477-9370
Organization SubpartNo
Authorized OfficialMichael J MahonPhysician/owner · (248) 477-7022
Enumeration DateApril 30, 2008
Last NPPES UpdateJuly 22, 2009
✔ NPI 1013183052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MI · 5101006141
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
21141 MIDDLEBELT RD, Farmington Hills, MI 48336

Other Names 1

Doing Business AsMiddlebelt Dermatology Center

Other Identifiers 1

Medicare UPINU37599MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Middlebelt Dermatology Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20090729000171Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Middlebelt Dermatology Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1013904549
21141 MIDDLEBELT RD
Farmington Hills, MI 48336
(248) 477-7022
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1346374618
44056 MOUND RD SUITE 101
Sterling Heights, MI 48314
(586) 314-1400
✔ PECOS✔ Accepts Medicare19 mi
Dermatology
NPI 1548571821
4651 VAN DYKE RD
Lutz, FL 33558
(813) 321-1786
✔ PECOS✔ Accepts Medicare988 mi

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

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 for Provider-Performed Microscopy Procedures (PPMP) 23D1051196

Michael J Mahon Do PC · Farmington Hills, MI
Active · expires Feb 23, 2028
CLIA Number23D1051196
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorMichael J. Mahon
Laboratory Phone(248) 477-7022
Laboratory LocationMichael J Mahon Do PC21141 Middlebelt Road, Farmington Hills, MI 48336
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently 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 Michael Mahon D O PC's NPI number?

The NPI number for Michael Mahon D O PC is 1013183052. It was assigned to this organization in the NPPES registry on April 30, 2008. The provider is doing business as Middlebelt Dermatology Center.

Where is Michael Mahon D O PC located?

Michael Mahon D O PC is located at 21141 Middlebelt Rd, Farmington Hills, MI 48336. The listed phone number is (248) 477-7022.

What is Michael Mahon D O PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Michael Mahon D O PC enrolled in Medicare?

Yes. Michael Mahon D O PC is registered in the Medicare PECOS enrollment system.

When is Michael Mahon D O PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Michael Mahon D O PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Michael Mahon D O PC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Michael Mahon D O PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D1051196) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michael Mahon D O PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michael Mahon D O PC 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 Michael Mahon D O PC was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.