ST JOSEPH DERMATOLOGY AND VEIN CLINIC PLLC
NPI 1407309560
Dermatology in Saint Joseph, MI

Active since July 25, 2016CLIA 23D2119599 · Certificate of Compliance
2500 NILES RD STE 10A, SAINT JOSEPH, MI 49085(773) 351-2862(773) 358-2767 Get Directions Write a Review

NPPES record last updated: January 26, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Joseph Dermatology And Vein Clinic Pllc NPPES

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

ST JOSEPH DERMATOLOGY AND VEIN CLINIC PLLC (NPI 1407309560) is a healthcare organization registered as a dermatology in Saint Joseph, Michigan and active in the NPI registry since July 2016. The organization holds a CLIA Certificate of Compliance certificate valid through March 8, 2027 and lists Vassilios Athanasios Dimitropoulos, Physician/ Owner/ President, as its authorized official.

NPPES Registry Identity

NPI1407309560
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameST JOSEPH DERMATOLOGY AND VEIN CLINIC PLLC
Location Address2500 NILES RD STE 10ASaint Joseph, MI 49085-3272
Mailing Address745 S Park AveHinsdale, IL 60521-4645 · (773) 351-2862 · Fax (773) 358-2767
Fax(773) 358-2767
Organization SubpartNo
Authorized OfficialVassilios Athanasios DimitropoulosPhysician/ Owner/ President · (773) 351-2862
Enumeration DateJuly 25, 2016
Last NPPES UpdateJanuary 26, 2017
NPI 1407309560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MI · 4301079801
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 4301079801 (MI)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 4301079801 (MI)
2500 NILES RD STE 10A, Saint Joseph, MI 49085

Other Identifiers 2

Medicaid1194838045MI
Medicare UPINI39241IL

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 23D2119599

St Joseph Dermatology And Vein Clinic · Saint Joseph, MI
Active · expires Mar 8, 2027
CLIA Number23D2119599
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorVassilios A. Dimitropoulos
Laboratory Phone(269) 428-5199
Laboratory LocationSt Joseph Dermatology And Vein Clinic2900 Niles Road, Saint Joseph, MI 49085
CLIA data matches this NPI record on: Name
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 St Joseph Dermatology And Vein Clinic PLLC's NPI number?

The NPI number for St Joseph Dermatology And Vein Clinic PLLC is 1407309560. It was assigned to this organization in the NPPES registry on July 25, 2016.

Where is St Joseph Dermatology And Vein Clinic PLLC located?

St Joseph Dermatology And Vein Clinic PLLC is located at 2500 Niles Rd Ste 10A, Saint Joseph, MI 49085. The listed phone number is (773) 351-2862.

What is St Joseph Dermatology And Vein Clinic PLLC's specialty?

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

Does St Joseph Dermatology And Vein Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 23D2119599) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Joseph Dermatology And Vein Clinic 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 St Joseph Dermatology And Vein Clinic 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 St Joseph Dermatology And Vein Clinic PLLC was last updated on January 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.