ART OF DERMATOLOGY PLLC
NPI 1275022519
Dermatology in Berkley, MI

NPI Status: Active since May 02, 2018

Contact Information

28903 WOODWARD AVE
BERKLEY, MI
ZIP 48072
Phone: (415) 802-1310

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  • Organization
  • Dermatology
  • Accepts Insurance
  • CLIA Number: 23D2327064
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-05-2028

About ART OF DERMATOLOGY PLLC

This page provides the complete NPI Profile along with additional information for Art Of Dermatology Pllc, a provider established in Berkley, Michigan operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1275022519 assigned on May 2018. The practitioner's primary taxonomy code is 207N00000X with license number 4301108548 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Chethana Chandrupatla Gottam Md (Owner)

NPI
1275022519
Provider Name
ART OF DERMATOLOGY PLLC
Entity Type
Organization
Location Address
28903 WOODWARD AVE BERKLEY, MI 48072
Location Phone
(415) 802-1310
Mailing Address
28903 WOODWARD AVE BERKLEY, MI 48072
Mailing Phone
(248) 581-0333
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2018
Last Update Date
12-29-2025
Code Navigator

A dermatologist like Art Of Dermatology Pllc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Secondary Locations

  • 44000 W Twelve Mile Rd Ste 201
    Novi, MI 48377
    (248) 581-0333
  • 5310 Clark Rd Ste 107
    Sarasota, FL 34233
    (239) 356-3503
  • 37595 7 Mile Rd Ste 330
    Livonia, MI 48152
    (248) 581-0333
  • 2350 Vanderbilt Beach Rd Ste 301
    Naples, FL 34109
    (239) 356-3503
  • 14290 Metropolis Ave Ste 2
    Fort Myers, FL 33912
    (239) 356-3503
  • 1114 N Olive Ave
    West Palm Beach, FL 33401
    (239) 356-3503
  • 1400 S Orlando Ave Ste 100
    Winter Park, FL 32789
    (239) 356-3503
  • 544 John Ringling Blvd
    Sarasota, FL 34236
    (239) 356-3503
  • 43650 Garfield Rd Ste 200
    Clinton Township, MI 48038
    (248) 581-0333
  • 6424 Alexandra Louise Dr Ste 460
    Orlando, FL 32827
    (239) 356-3503
  • 28300 Harper Ave
    Saint Clair Shores, MI 48081
    (248) 581-0333
  • 250 W Eisenhower Pkwy Ste 100
    Ann Arbor, MI 48103
    (248) 581-0333
  • 7096 Orchard Lake Rd
    West Bloomfield, MI 48322
    (248) 581-0333
  • 189 E Big Beaver Rd
    Troy, MI 48083
    (248) 581-0333
  • 36555 26 Mile Rd Ste 2700
    Lenox, MI 48048
    (248) 581-0333
  • 645 W Grand River Ave Ste 110
    Howell, MI 48843
    (248) 581-0333
  • 880 NW 13th St Ste 130
    Boca Raton, FL 33486
    (239) 356-3503

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
4301108548
License State
MI
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Clarity VALUE Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Elite VALUE Bronze - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHETHANA CHANDRUPATLA GOTTAM MD

Authorized Official Title
OWNER
Authorized Official Phone
(248) 581-0333

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2327064
Facility Type
Physician Office
Certificate Effective Date
January 06, 2026
Certificate Expiration Date
January 05, 2028
Laboratory Director
JOSEPH A. ZAHN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Art Of Dermatology Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for ART OF DERMATOLOGY PLLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275022519, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 0 + 2 + 4 + 5 + 2 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1275022519.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
28903 WOODWARD AVE
BERKLEY, MI 48072
Obstetrics & Gynecology
28903 WOODWARD AVE
BERKLEY, MI 48072
Physician Assistant
28903 WOODWARD AVE
BERKLEY, MI 48072
Nurse Practitioner (Primary Care)
28903 WOODWARD AVE
BERKLEY, MI 48072
Nurse Practitioner
28903 WOODWARD AVE
BERKLEY, MI 48072
Nurse Practitioner (Family)
28903 WOODWARD AVE
BERKLEY, MI 48072
Physician Assistant
28903 WOODWARD AVE
BERKLEY, MI 48072
Physician Assistant
28903 WOODWARD AVE
BERKLEY, MI 48072
Dermatology
28903 WOODWARD AVE
BERKLEY, MI 48072
Dermatology
28903 WOODWARD AVE
BERKLEY, MI 48072
Nurse Practitioner (Family)
28903 WOODWARD AVE
BERKLEY, MI 48072

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275022519, enumerated as an "organization" on May 02, 2018.

The provider is located at 28903 WOODWARD AVE BERKLEY, MI 48072 and the phone number is (415) 802-1310.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.