AARON TISACK
NPI 1376121350
Dermatology in Novi, MI

Active since March 31, 2021PECOS Enrolled
39450 W TWELVE MILE RD, NOVI, MI 48377(248) 344-6688 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2025, Mar 31, 2021 (2 updates tracked since 2021).

About Aaron Tisack NPPES

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

AARON TISACK (NPI 1376121350) is an individual dermatology provider in Novi, Michigan, licensed in Michigan (4301518000) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376121350
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameAARON TISACK
Location Address39450 W TWELVE MILE RDNovi, MI 48377-3600
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806
Sole ProprietorNo
Enumeration DateMarch 31, 2021
Last NPPES UpdateJune 22, 20262 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
NPI 1376121350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MI · 4301518000
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.
39450 W TWELVE MILE RD, Novi, MI 48377

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Aaron Tisack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48377 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
39450 W TWELVE MILE RD
NOVI, MI 48377
Community Health Worker
39450 W TWELVE MILE RD
NOVI, MI 48377
Nurse Practitioner (Primary Care)
39450 W TWELVE MILE RD
NOVI, MI 48377
Pharmacist
39450 W TWELVE MILE RD
NOVI, MI 48377
Family Medicine
39450 W TWELVE MILE RD
NOVI, MI 48377
Counselor (Professional)
39450 W TWELVE MILE RD
NOVI, MI 48377
Family Medicine
39450 W TWELVE MILE RD
NOVI, MI 48377
Internal Medicine (Endocrinology, Diabetes & Metabolism)
39450 W TWELVE MILE RD
NOVI, MI 48377

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 Aaron Tisack's NPI number?

The NPI number for Aaron Tisack is 1376121350. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Aaron Tisack located?

Aaron Tisack practices at 39450 W Twelve Mile Rd, Novi, MI 48377. The listed phone number is (248) 344-6688.

What is Aaron Tisack's specialty?

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

Is Aaron Tisack enrolled in Medicare?

Yes. Aaron Tisack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Aaron Tisack was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.