LIVONIA DERMATOLOGY PLLC
NPI 1457406217
Dermatology in Livonia, MI

Q: What is Livonia Dermatology PLLC's NPI number?

The NPI number for Livonia Dermatology PLLC is 1457406217. It was assigned to this organization in the NPPES registry on January 24, 2007.

Q: What is Livonia Dermatology PLLC's specialty?

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

Active since January 24, 2007CLIA 23D1015730 · Certificate of Compliance

14801 FARMINGTON RD, LIVONIA, MI 48154(734) 542-8100(734) 542-8168 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Livonia Dermatology Pllc NPPES

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

LIVONIA DERMATOLOGY PLLC (NPI 1457406217) is a healthcare organization registered as a dermatology in Livonia, Michigan and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through December 21, 2027 and lists David Pegouske, Owner, as its authorized official.

NPPES Registry Identity

NPI1457406217

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameLIVONIA DERMATOLOGY PLLC

Location Address14801 FARMINGTON RDLivonia, MI 48154-5429

Mailing Address14801 Farmington RdLivonia, MI 48154-5429 · (734) 542-8100 · Fax (734) 542-8168

Phone(734) 542-8100

Fax(734) 542-8168

Organization SubpartNo

Authorized OfficialDavid PegouskeOwner · (734) 542-8100

Enumeration DateJanuary 24, 2007

Last NPPES UpdateDecember 6, 2011

✔ NPI 1457406217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

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.

14801 FARMINGTON RD, Livonia, MI 48154

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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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 23D1015730

Livonia Dermatology · Livonia, MI

Active · expires Dec 21, 2027

CLIA Number23D1015730

Laboratory TypePhysician Office

Certificate Effective DateDecember 22, 2025

Certificate Expiration DateDecember 21, 2027

Laboratory DirectorDavid M. Pegouske

Laboratory Phone(734) 542-8100

Laboratory LocationLivonia Dermatology14801 Farmington Road, Livonia, MI 48154

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.

Other Providers at the Same Location NPPES 7

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

MARK GORALEWSKI MD

Dermatology