ON SITE DERMATOLOGY OF MICHIGAN, PLLC
NPI 1114809811
Dermatology in Novi, MI

Active since July 23, 2025
41000 W 13 MILE RD, NOVI, MI 48377(877) 345-5300 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About On Site Dermatology Of Michigan, Pllc NPPES

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

ON SITE DERMATOLOGY OF MICHIGAN, PLLC (NPI 1114809811) is a healthcare organization registered as a dermatology in Novi, Michigan and active in the NPI registry since July 2025. The organization lists Animesh Sinha, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1114809811
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameON SITE DERMATOLOGY OF MICHIGAN, PLLC
Location Address41000 W 13 MILE RDNovi, MI 48377-2800
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000
Organization SubpartNo
Authorized OfficialAnimesh SinhaAuthorized Official · (561) 314-2000
Enumeration DateJuly 23, 2025
Last NPPES UpdateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
✔ NPI 1114809811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
41000 W 13 MILE RD, Novi, MI 48377

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

On Site Dermatology Of Michigan, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to On Site Dermatology Of Michigan, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1740964758
1355 BOGUE ST
East Lansing, MI 48824
(800) 605-6424
✔ PECOS✔ Accepts Medicare54 mi
Dermatology
NPI 1285733014
10 UNION SQ E SUITE 3C
New York, NY 10003
(212) 844-8800
✔ PECOS505 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 On Site Dermatology Of Michigan, PLLC's NPI number?

The NPI number for On Site Dermatology Of Michigan, PLLC is 1114809811. It was assigned to this organization in the NPPES registry on July 23, 2025.

Where is On Site Dermatology Of Michigan, PLLC located?

On Site Dermatology Of Michigan, PLLC is located at 41000 W 13 Mile Rd, Novi, MI 48377. The listed phone number is (877) 345-5300.

What is On Site Dermatology Of Michigan, PLLC's specialty?

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

Is On Site Dermatology Of Michigan, PLLC enrolled in Medicare?

Yes. On Site Dermatology Of Michigan, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through On Site Dermatology Of Michigan, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to On Site Dermatology Of Michigan, PLLC, in Dermatology and Nurse Practitioner. 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 On Site Dermatology Of Michigan, PLLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Florida Blue (BlueCross BlueShield FL) list On Site Dermatology Of Michigan, 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 On Site Dermatology Of Michigan, PLLC was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.