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HEIDELBERG DERMATOLOGY, P.C.
NPI 1124045075
Dermatology in Detroit, MI

Active since July 16, 2006CLIA 23D0868799 · Microscopy
20400 LIVERNOIS AVE, DETROIT, MI 48221(313) 341-4514(313) 341-2152 Get Directions Write a Review

NPPES record last updated: December 2, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heidelberg Dermatology, P.c. NPPES

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

HEIDELBERG DERMATOLOGY, P.C. (NPI 1124045075) is a healthcare organization registered as a dermatology in Detroit, Michigan and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists Karen A. Heidelberg, President, as its authorized official.

NPPES Registry Identity

NPI1124045075
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameHEIDELBERG DERMATOLOGY, P.C.
Location Address20400 LIVERNOIS AVEDetroit, MI 48221-1348
Mailing Address20400 Livernois AveDetroit, MI 48221-1348 · (313) 864-3766 · Fax (313) 864-8134
Phone(313) 341-4514
Fax(313) 341-2152
Organization SubpartNo
Authorized OfficialKaren A. HeidelbergPresident · (313) 864-3766
Enumeration DateJuly 16, 2006
Last NPPES UpdateDecember 2, 2015
✔ NPI 1124045075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MI · 4301066952
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.
20400 LIVERNOIS AVE, Detroit, MI 48221
Open in Google Maps ↗

Other Identifiers 3

Other0H28011MI · Blue Cross Shield Michiga
Medicare PIN0H28011MI
Medicare ID-Type Unspecified0H28011MI

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 ›

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 for Provider-Performed Microscopy Procedures (PPMP) 23D0868799

Heidelberg Dermatology PC · Detroit, MI
Active · expires Mar 26, 2027
CLIA Number23D0868799
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorKaren A. Heidelberg
Laboratory Phone(313) 864-3766
Laboratory LocationHeidelberg Dermatology PC20400 Livernois Avenue, Detroit, MI 48221
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

KAREN ANN HEIDELBERG M.D.
Dermatology
20400 LIVERNOIS AVE
DETROIT, MI 48221
Wayne County (313) 864-3766
AYANA GATES PA-C
Physician Assistant
20400 LIVERNOIS AVE
DETROIT, MI 48221
Wayne County (313) 864-3766

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 Heidelberg Dermatology, P.C.'s NPI number?

The NPI number for Heidelberg Dermatology, P.C. is 1124045075. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Heidelberg Dermatology, P.C. located?

Heidelberg Dermatology, P.C. is located at 20400 Livernois Ave, Detroit, MI 48221. The listed phone number is (313) 341-4514.

What is Heidelberg Dermatology, P.C.'s specialty?

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

Does Heidelberg Dermatology, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0868799) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Heidelberg Dermatology, P.C. accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Heidelberg Dermatology, P.C. 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 Heidelberg Dermatology, P.C. was last updated on December 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.