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DERMATOLOGY MEDICAL CENTER OF MI, PC
NPI 1477128189
Dermatology in Fenton, MI

Active since May 25, 2021
2545 W SILVER LAKE RD STE 2, FENTON, MI 48430(810) 215-0999(810) 629-2377 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2024, May 25, 2021 (2 updates tracked since 2021).

About Dermatology Medical Center Of Mi, Pc NPPES

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

DERMATOLOGY MEDICAL CENTER OF MI, PC (NPI 1477128189) is a healthcare organization registered as a dermatology in Fenton, Michigan and active in the NPI registry since May 2021. The organization lists Nedil N/a Aldarondo-antonini, President, as its authorized official.

NPPES Registry Identity

NPI1477128189
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY MEDICAL CENTER OF MI, PC
Location Address2545 W SILVER LAKE RD STE 2Fenton, MI 48430-2662
Mailing Address2545 W Silver Lake Rd Ste 2Fenton, MI 48430-2662 · (810) 243-0707 · Fax (810) 208-0311
Phone(810) 215-0999
Fax(810) 629-2377
Organization SubpartNo
Authorized OfficialNedil N/a Aldarondo-antoniniPresident · (956) 286-3604
Enumeration DateMay 25, 2021
Last NPPES UpdateMay 13, 20242 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1477128189 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.
2545 W SILVER LAKE RD STE 2, Fenton, MI 48430
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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology Medical Center Of Mi, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dermatology Medical Center Of Mi, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nedil Aldarondo-Antonini, M.D.
Dermatology
NPI 1649450172
2545 W SILVER LAKE RD STE 2
Fenton, MI 48430
(956) 286-3605
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dermatology Medical Center Of Mi, PC's NPI number?

The NPI number for Dermatology Medical Center Of Mi, PC is 1477128189. It was assigned to this organization in the NPPES registry on May 25, 2021.

Where is Dermatology Medical Center Of Mi, PC located?

Dermatology Medical Center Of Mi, PC is located at 2545 W Silver Lake Rd Ste 2, Fenton, MI 48430. The listed phone number is (810) 215-0999.

What is Dermatology Medical Center Of Mi, PC's specialty?

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

Is Dermatology Medical Center Of Mi, PC enrolled in Medicare?

Yes. Dermatology Medical Center Of Mi, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Medical Center Of Mi, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Dermatology Medical Center Of Mi, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dermatology Medical Center Of Mi, 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 Dermatology Medical Center Of Mi, 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 Dermatology Medical Center Of Mi, PC was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.