DERMATOLOGY SPECIALISTS OF ROCHESTER HILLS
NPI 1114652831
Dermatology in Canton, MI
About Dermatology Specialists Of Rochester Hills NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY SPECIALISTS OF ROCHESTER HILLS (NPI 1114652831) is a healthcare organization registered as a dermatology in Canton, Michigan and active in the NPI registry since July 2022. The organization holds a CLIA Certificate of Compliance certificate valid through December 11, 2026, maintains a secondary practice location in Rochester Hills, and lists Kim Vanhall, Sr. Project Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Rochester Hills is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Dermatology Specialists Of Rochester Hills, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 of Compliance 23D2077428
Dermatology Specialists Of Canton · Canton, 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 Rochester Hills's NPI number?
The NPI number for Dermatology Specialists Of Rochester Hills is 1114652831. It was assigned to this organization in the NPPES registry on July 18, 2022.
Where is Dermatology Specialists Of Rochester Hills located?
Dermatology Specialists Of Rochester Hills is located at 361 N Canton Center Rd, Canton, MI 48187. The listed phone number is (734) 495-1506.
What is Dermatology Specialists Of Rochester Hills's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology Specialists Of Rochester Hills enrolled in Medicare?
Yes. Dermatology Specialists Of Rochester Hills is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Specialists Of Rochester Hills?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Specialists Of Rochester Hills. 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 (3) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Specialists Of Rochester Hills hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 23D2077428) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dermatology Specialists Of Rochester Hills accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dermatology Specialists Of Rochester Hills 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 Rochester Hills was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Rochester Hills · NPI 1114652831
Dermatology organization in Canton, Michigan. Organization record, active in the CMS NPPES registry since July 18, 2022.
## Identity
- **NPI:** 1114652831 (Entity type: Organization)
- **Enumerated:** July 18, 2022
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Kim Vanhall, SR. PROJECT MANAGER
## Practice location
- **Address:** 361 N CANTON CENTER RD, Canton, MI 48187-5096
- **Phone:** (734) 495-1506 · **Fax:** (734) 495-1780
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (3), Micrographic Dermatologic Surgery (MDS) (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114652831) · Data from the CMS NPPES public registry.