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

Q: 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.

Q: 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.

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: October 18, 2026.

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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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Michigan Vascular Institute Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michigan Vascular Institute PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gregory Derderian, D.O.

Vascular Surgery

NPI 1457355737

538 N OLD WOODWARD AVE
Birmingham, MI 48009

(248) 594-3091

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Michigan Vascular Institute PLLC enrolled in Medicare?

Yes. Michigan Vascular Institute PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michigan Vascular Institute PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Michigan Vascular Institute 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michigan Vascular Institute PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Care Network of Michigan 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.