NORTHWEST DERMATOLGY GROUP, PC
NPI 1285656777
Dermatology - MOHS-Micrographic Surgery in Southfield, MI
About Northwest Dermatolgy Group, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHWEST DERMATOLGY GROUP, PC (NPI 1285656777) is a healthcare organization registered as a mohs-micrographic surgery in Southfield, Michigan and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 21, 2028 and lists Emily B Levin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Northwest Dermatolgy Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Northwest Dermatolgy Group, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Southfield, MI 48034
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
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 23D0363370
Northwest Dermatology Group PC · Bingham Farms, MIFrequently 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 Northwest Dermatolgy Group, PC's NPI number?
The NPI number for Northwest Dermatolgy Group, PC is 1285656777. It was assigned to this organization in the NPPES registry on July 24, 2006.
Where is Northwest Dermatolgy Group, PC located?
Northwest Dermatolgy Group, PC is located at 29355 Northwestern Hwy #200, Southfield, MI 48034. The listed phone number is (248) 353-0880.
What is Northwest Dermatolgy Group, PC's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.
Is Northwest Dermatolgy Group, PC enrolled in Medicare?
Yes. Northwest Dermatolgy Group, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northwest Dermatolgy Group, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Northwest Dermatolgy Group, PC. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Northwest Dermatolgy Group, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 23D0363370) is associated with this NPI, valid through February 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Northwest Dermatolgy Group, PC 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 Northwest Dermatolgy Group, PC 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 Northwest Dermatolgy Group, PC was last updated on July 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Northwest Dermatolgy Group, Pc · NPI 1285656777
MOHS-Micrographic Surgery organization in Southfield, Michigan. Organization record, active in the CMS NPPES registry since July 24, 2006.
## Identity
- **NPI:** 1285656777 (Entity type: Organization)
- **Enumerated:** July 24, 2006
- **Primary specialty:** Dermatology - MOHS-Micrographic Surgery · taxonomy 207ND0101X
- **Organization subpart:** No
- **Authorized official:** Emily Levin, PRESIDENT
## Practice location
- **Address:** 29355 NORTHWESTERN HWY, #200, Southfield, MI 48034
- **Phone:** (248) 353-0880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 27, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285656777) · Data from the CMS NPPES public registry.