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MICHIGAN VASCULAR INSTITUTE PLLC
NPI 1093915910
Surgery - Vascular Surgery in Birmingham, MI

Active since July 19, 2007
538 N OLD WOODWARD AVE, BIRMINGHAM, MI 48009(248) 594-3091(248) 594-3068 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michigan Vascular Institute Pllc NPPES

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

MICHIGAN VASCULAR INSTITUTE PLLC (NPI 1093915910) is a healthcare organization registered as a vascular surgery in Birmingham, Michigan and active in the NPI registry since July 2007. The organization lists Gregory P. Derderian, Member, as its authorized official.

NPPES Registry Identity

NPI1093915910
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameMICHIGAN VASCULAR INSTITUTE PLLC
Location Address538 N OLD WOODWARD AVEBirmingham, MI 48009-5375
Mailing Address538 N Old Woodward AveBirmingham, MI 48009-5375 · (248) 594-3091 · Fax (248) 594-3068
Phone(248) 594-3091
Fax(248) 594-3068
Organization SubpartNo
Authorized OfficialGregory P. DerderianMember · (248) 594-3091
Enumeration DateJuly 19, 2007
Last NPPES UpdateFebruary 23, 2023
NPPES CertifiedFebruary 23, 2023
✔ NPI 1093915910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MI · 5101007182
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
538 N OLD WOODWARD AVE, Birmingham, MI 48009
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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY PAUL DERDERIAN D.O.
Surgery (Vascular Surgery)
538 N OLD WOODWARD AVE
BIRMINGHAM, MI 48009
Oakland County (248) 594-3091

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 Michigan Vascular Institute PLLC's NPI number?

The NPI number for Michigan Vascular Institute PLLC is 1093915910. It was assigned to this organization in the NPPES registry on July 19, 2007.

Where is Michigan Vascular Institute PLLC located?

Michigan Vascular Institute PLLC is located at 538 N Old Woodward Ave, Birmingham, MI 48009. The listed phone number is (248) 594-3091.

What is Michigan Vascular Institute PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

What insurance does Michigan Vascular Institute PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michigan Vascular Institute 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 Michigan Vascular Institute PLLC was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.