NOVICE AESTHETICS AND DERMATOLOGY PLLC
NPI 1114489945
Dermatology in Bloomfield Hills, MI

Active since April 01, 2019
4120 W MAPLE RD STE 206, BLOOMFIELD HILLS, MI 48301(248) 932-3376(248) 932-1046 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Novice Aesthetics And Dermatology Pllc NPPES

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

NOVICE AESTHETICS AND DERMATOLOGY PLLC (NPI 1114489945) is a healthcare organization registered as a dermatology in Bloomfield Hills, Michigan and active in the NPI registry since April 2019. The organization lists Fred Mark Novice, Owner, as its authorized official.

NPPES Registry Identity

NPI1114489945
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNOVICE AESTHETICS AND DERMATOLOGY PLLC
Location Address4120 W MAPLE RD STE 206Bloomfield Hills, MI 48301-3068
Mailing Address7456 Paddle Wheel CtBloomfield Hills, MI 48301-3700 · (248) 932-3376 · Fax (248) 932-1046
Fax(248) 932-1046
Organization SubpartNo
Authorized OfficialFred Mark NoviceOwner · (248) 932-3376
Enumeration DateApril 1, 2019
✔ NPI 1114489945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
4120 W MAPLE RD STE 206, Bloomfield Hills, MI 48301

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Novice Aesthetics And Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Novice Aesthetics And Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1265517635
4120 WEST MAPLE ROAD SUITE 206
Bloomfield Hills, MI 48301
(248) 932-3376
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1497374789
4120 W MAPLE RD STE 206
Bloomfield Hills, MI 48301
(248) 932-3376
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1609260538
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2600
✔ PECOS✔ Accepts Medicare16 mi

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 Novice Aesthetics And Dermatology PLLC's NPI number?

The NPI number for Novice Aesthetics And Dermatology PLLC is 1114489945. It was assigned to this organization in the NPPES registry on April 1, 2019.

Where is Novice Aesthetics And Dermatology PLLC located?

Novice Aesthetics And Dermatology PLLC is located at 4120 W Maple Rd Ste 206, Bloomfield Hills, MI 48301. The listed phone number is (248) 932-3376.

What is Novice Aesthetics And Dermatology PLLC's specialty?

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

Is Novice Aesthetics And Dermatology PLLC enrolled in Medicare?

Yes. Novice Aesthetics And Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novice Aesthetics And Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Novice Aesthetics And Dermatology 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Novice Aesthetics And Dermatology PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Novice Aesthetics And Dermatology 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 Novice Aesthetics And Dermatology PLLC was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.