NOVI DERMATOLOGY PLLC
NPI 1245751007
Dermatology in Novi, MI

Active since July 03, 2017
44000 W 12 MILE RD STE 103, NOVI, MI 48377(248) 946-4787(248) 716-5956 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 14, 2021, Jul 11, 2018, Jul 19, 2017 and 1 more (4 updates tracked since 2017).

About Novi Dermatology Pllc NPPES

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

NOVI DERMATOLOGY PLLC (NPI 1245751007) is a healthcare organization registered as a dermatology in Novi, Michigan and active in the NPI registry since July 2017. The organization lists Alice C Watson, Delegated Official, as its authorized official.

NPPES Registry Identity

NPI1245751007
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNOVI DERMATOLOGY PLLC
Location Address44000 W 12 MILE RD STE 103Novi, MI 48377
Mailing Address44000 W 12 Mile Rd Ste 103Novi, MI 48377-2646 · (248) 946-4787 · Fax (248) 308-2450
Fax(248) 716-5956
Organization SubpartNo
Authorized OfficialAlice C WatsonDelegated Official · (248) 946-4787
Enumeration DateJuly 3, 2017
Last NPPES UpdateJune 14, 20214 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
✔ NPI 1245751007 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.
44000 W 12 MILE RD STE 103, 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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Novi 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 (4)

Dermatology
NPI 1639270432
44000 W 12 MILE RD STE 103
Novi, MI 48377
(249) 946-4787
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1528146651
44000 W 12 MILE RD STE 103
Novi, MI 48377
(248) 946-4787
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447998760
32270 TELEGRAPH RD STE 110
Bingham Farms, MI 48025
(248) 792-9496
✔ PECOS✔ Accepts Medicare10 mi
Dermatology
NPI 1457305815
110 SOUTH BLVD W STE 100
Rochester Hills, MI 48307
(248) 852-1900
✔ PECOS✔ Accepts Medicare20 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 Novi Dermatology PLLC's NPI number?

The NPI number for Novi Dermatology PLLC is 1245751007. It was assigned to this organization in the NPPES registry on July 3, 2017.

Where is Novi Dermatology PLLC located?

Novi Dermatology PLLC is located at 44000 W 12 Mile Rd Ste 103, Novi, MI 48377. The listed phone number is (248) 946-4787.

What is Novi Dermatology PLLC's specialty?

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

Is Novi Dermatology PLLC enrolled in Medicare?

Yes. Novi Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novi Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Novi 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. The largest specialties are Dermatology (3) and Nurse Practitioner (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Novi Dermatology PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Novi 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 Novi Dermatology PLLC was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.