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ART OF DERMATOLOGY PLLC
NPI 1275022519
Dermatology in Berkley, MI

Active since May 02, 2018CLIA Certified · 2 labs
28903 WOODWARD AVE, BERKLEY, MI 48072(415) 802-1310 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 29, 2025, Nov 22, 2024, Mar 16, 2023 and 2 more (5 updates tracked since 2018).

About Art Of Dermatology Pllc NPPES

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

ART OF DERMATOLOGY PLLC (NPI 1275022519) is a healthcare organization registered as a dermatology in Berkley, Michigan and active in the NPI registry since May 2018. The organization holds 2 active CLIA laboratory certificates, maintains 17 additional practice locations, and lists Chethana Chandrupatla Gottam, Owner, as its authorized official.

NPPES Registry Identity

NPI1275022519
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameART OF DERMATOLOGY PLLC
Location Address28903 WOODWARD AVEBerkley, MI 48072-0924
Mailing Address28903 Woodward AveBerkley, MI 48072-0924 · (248) 581-0333
Phone(415) 802-1310
Organization SubpartNo
Authorized OfficialChethana Chandrupatla GottamOwner · (248) 581-0333
Enumeration DateMay 2, 2018
Last NPPES UpdateDecember 29, 20255 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1275022519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MI · 4301108548
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.
28903 WOODWARD AVE, Berkley, MI 48072
Open in Google Maps ↗

Secondary Practice Locations 17

Location 137595 7 Mile Rd Ste 330Livonia, MI 48152-1489 · Phone (248) 581-0333
Location 26424 Alexandra Louise Dr Ste 460Orlando, FL 32827-5820 · Phone (239) 356-3503
Location 35310 Clark Rd Ste 107Sarasota, FL 34233-3230 · Phone (239) 356-3503
Location 4880 NW 13th St Ste 130Boca Raton, FL 33486-2342 · Phone (239) 356-3503
Location 5645 W Grand River Ave Ste 110Howell, MI 48843-2178 · Phone (248) 581-0333
Location 636555 26 Mile Rd Ste 2700Lenox, MI 48048-3187 · Phone (248) 581-0333
Location 7189 E Big Beaver RdTroy, MI 48083-1207 · Phone (248) 581-0333
Location 87096 Orchard Lake RdWest Bloomfield, MI 48322-3601 · Phone (248) 581-0333
Location 9250 W Eisenhower Pkwy Ste 100Ann Arbor, MI 48103-6933 · Phone (248) 581-0333
Location 1028300 Harper AveSaint Clair Shores, MI 48081-1686 · Phone (248) 581-0333
Location 112350 Vanderbilt Beach Rd Ste 301Naples, FL 34109-2760 · Phone (239) 356-3503
Location 1214290 Metropolis Ave Ste 2Fort Myers, FL 33912-4534 · Phone (239) 356-3503
Location 131114 N Olive AveWest Palm Beach, FL 33401-3514 · Phone (239) 356-3503
Location 141400 S Orlando Ave Ste 100Winter Park, FL 32789-5543 · Phone (239) 356-3503
Location 15544 John Ringling BlvdSarasota, FL 34236-1430 · Phone (239) 356-3503
Location 1643650 Garfield Rd Ste 200Clinton Township, MI 48038-7419 · Phone (248) 581-0333
Location 1744000 W Twelve Mile Rd Ste 201Novi, MI 48377-2647 · Phone (248) 581-0333

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Art Of Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner9
Dermatology8

Clinicians, nearest first (17)

Chethana Gottam, M.D.
Dermatology
NPI 1669664009
28903 WOODWARD AVE
Berkley, MI 48072
(248) 581-0333
✔ PECOS✔ Accepts MedicareSame address
Allison Jenney
Nurse Practitioner
NPI 1033728571
28903 WOODWARD AVE
Berkley, MI 48072
(248) 581-0333
✔ PECOSSame address
Lauren Barczuk
Nurse Practitioner
NPI 1720793508
28903 WOODWARD AVE
Berkley, MI 48072
(248) 581-0333
✔ PECOS✔ Accepts MedicareSame address
Minna Shaba, FNP
Nurse Practitioner
NPI 1770308884
28903 WOODWARD AVE
Berkley, MI 48072
(248) 581-0333
✔ PECOSSame address
Danielle Bosscher, FNP-C
Nurse Practitioner
NPI 1871040154
511 PIERCE ST
Birmingham, MI 48009
(248) 693-0543
✔ PECOS✔ Accepts Medicare3.7 mi
Miguel Herrera-Martinez, MD
Dermatology
NPI 1669823357
26901 HARPER AVE
Saint Clair Shores, MI 48081
(248) 726-7646
✔ PECOS✔ Accepts Medicare14 mi
Kailey Temple, FNP-BC
Nurse Practitioner
NPI 1427552587
3901 HIGHLAND RD STE D
Waterford, MI 48328
(248) 682-3070
✔ PECOS14 mi
Hui Ling Chen, DNP, FNP-C
Nurse Practitioner
NPI 1215554266
1136 COUNTRY CLUB RD UNIT C
Adrian, MI 49221
(517) 366-5110
✔ PECOS✔ Accepts Medicare61 mi
Joseph Zahn, M.D.
Dermatology
NPI 1386058048
2150 PENNSYLVANIA AVE NW
Washington, DC 20037
(202) 741-3000
✔ PECOS✔ Accepts Medicare406 mi
Enid Burnett, MD
Dermatology
NPI 1750368932
87 MURRAY GUARD DR STE B
Jackson, TN 38305
(731) 422-0213
✔ PECOS✔ Accepts Medicare560 mi
Baylee Seiferlein, NP
Nurse Practitioner
NPI 1992575906
712 S CASCADE ST
Fergus Falls, MN 56537
(218) 736-8000
✔ PECOS689 mi
Michael Mcgriff, M.D.
Dermatology
NPI 1952337966
10250 SE 167TH PLACE RD UNIT 5
Summerfield, FL 34491
(352) 307-9925
✔ PECOS✔ Accepts Medicare935 mi
Jaison Joseph Luke, ARNP
Nurse Practitioner
NPI 1184074759
1705 LAKELAND HILLS BLVD STE 1
Lakeland, FL 33805
(863) 688-6051
✔ PECOS997 mi
Tiffanie Wong, DO
Dermatology
NPI 1518385475
6020 PARK BLVD N
Pinellas Park, FL 33781
(855) 353-7546
✔ PECOS✔ Accepts Medicare1,011 mi
Nicolette Pelliccione, APRN
Nurse Practitioner
NPI 1689992471
5310 CLARK RD STE 201
Sarasota, FL 34233
(941) 925-3627
✔ PECOS1,051 mi
Patricia Stewart, DO
Dermatology
NPI 1386706091
16461 DOMESTIC AVENUE
Fort Myers, FL 33912
(772) 667-7688
✔ PECOS✔ Accepts Medicare1,106 mi
Jessica Bernstein, DO
Dermatology
NPI 1376858415
6274 LINTON BLVD STE 100
Delray Beach, FL 33484
(561) 973-3376
✔ PECOS✔ Accepts Medicare1,120 mi

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 2

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 23D2212260

Art Of Dermatology, PLLC · Clinton Township, MI
Active · expires Apr 28, 2028
CLIA Number23D2212260
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorMiguel A. Herrera-Martinez
Laboratory Phone(248) 581-0333
Laboratory LocationArt Of Dermatology, PLLC43650 Garfield Road Suite 200, Clinton Township, MI 48038
CLIA data matches this NPI record on: Address 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.

Certificate of Compliance 23D2327064

Art Of Dermatology · Berkley, MI
Active · expires Jan 5, 2028
CLIA Number23D2327064
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2026
Certificate Expiration DateJanuary 5, 2028
Laboratory DirectorJoseph A. Zahn
Laboratory Phone(248) 581-0333
Laboratory LocationArt Of Dermatology28905 Woodward Avenue, Berkley, MI 48072
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 Art Of Dermatology PLLC's NPI number?

The NPI number for Art Of Dermatology PLLC is 1275022519. It was assigned to this organization in the NPPES registry on May 2, 2018.

Where is Art Of Dermatology PLLC located?

Art Of Dermatology PLLC is located at 28903 Woodward Ave, Berkley, MI 48072. The listed phone number is (415) 802-1310.

What is Art Of Dermatology PLLC's specialty?

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

Is Art Of Dermatology PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Art Of Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 2 Medicare specialties reassign their Medicare billing to Art Of 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 Nurse Practitioner (9) and Dermatology (8). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Art Of Dermatology PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Art Of Dermatology PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Art Of 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 Art Of Dermatology PLLC was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.