ACADEMIC DERMATOLOGY & COSMETIC SURGERY CENTER, PLLC
NPI 1265645535
Dermatology in Shelby Twp., MI

Active since May 07, 2007CLIA 23D1028878 · Certificate of Compliance
50182 SCHOENHERR ROAD, SHELBY TWP., MI 48315(586) 997-9700(586) 997-9738 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Academic Dermatology & Cosmetic Surgery Center, Pllc NPPES

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

ACADEMIC DERMATOLOGY & COSMETIC SURGERY CENTER, PLLC (NPI 1265645535) is a healthcare organization registered as a dermatology in Shelby Twp., Michigan and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through September 22, 2027 and lists Brian G Sandler, Owner, as its authorized official.

NPPES Registry Identity

NPI1265645535
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameACADEMIC DERMATOLOGY & COSMETIC SURGERY CENTER, PLLC
Location Address50182 SCHOENHERR ROADShelby Twp., MI 48315
Mailing Address51189 Shelby PkwyShelby Twp, MI 48315-1786 · (586) 997-9700 · Fax (586) 997-9738
Fax(586) 997-9738
Organization SubpartNo
Authorized OfficialBrian G SandlerOwner · (586) 997-9700
Enumeration DateMay 7, 2007
Last NPPES UpdateAugust 28, 2020
NPPES CertifiedAugust 28, 2020
NPI 1265645535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MI · 4301058522
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 · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 4301058522 (MI)
50182 SCHOENHERR ROAD, Shelby Twp., MI 48315

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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 of Compliance 23D1028878

Academic Dermatology & Cosmetic Surgery Center · Shelby Township, MI
Active · expires Sep 22, 2027
CLIA Number23D1028878
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorBrian G. Sandler
Laboratory Phone(586) 997-9700
Laboratory LocationAcademic Dermatology & Cosmetic Surgery Center51189 Shelby Pkwy, Shelby Township, MI 48315
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Academic Dermatology & Cosmetic Surgery Center, PLLC's NPI number?

The NPI number for Academic Dermatology & Cosmetic Surgery Center, PLLC is 1265645535. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Academic Dermatology & Cosmetic Surgery Center, PLLC located?

Academic Dermatology & Cosmetic Surgery Center, PLLC is located at 50182 Schoenherr Road, Shelby Twp., MI 48315. The listed phone number is (586) 997-9700.

What is Academic Dermatology & Cosmetic Surgery Center, PLLC's specialty?

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

Does Academic Dermatology & Cosmetic Surgery Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 23D1028878) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Academic Dermatology & Cosmetic Surgery Center, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Academic Dermatology & Cosmetic Surgery Center, 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 Academic Dermatology & Cosmetic Surgery Center, PLLC was last updated on August 28, 2020. 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.