SUMMIT DERMATOLOGY PLLC
NPI 1780577999
Dermatology in Livonia, MI

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

The NPI number for Summit Dermatology PLLC is 1780577999. It was assigned to this organization in the NPPES registry on May 29, 2025.

Q: What is Summit Dermatology PLLC's specialty?

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

Active since May 29, 2025CLIA 23D2335015 · Certificate of Compliance

14700 FARMINGTON RD STE 105, LIVONIA, MI 48154(734) 361-2191(734) 361-9701 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Summit Dermatology Pllc NPPES

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

SUMMIT DERMATOLOGY PLLC (NPI 1780577999) is a healthcare organization registered as a dermatology in Livonia, Michigan and active in the NPI registry since May 2025. The organization holds a CLIA Certificate of Compliance certificate valid through December 3, 2027, maintains a secondary practice location in Southgate, and lists Sultan Qiblawi, Member, as its authorized official.

NPPES Registry Identity

NPI1780577999

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameSUMMIT DERMATOLOGY PLLC

Location Address14700 FARMINGTON RD STE 105Livonia, MI 48154-5434

Mailing Address14700 Farmington Rd Ste 105Livonia, MI 48154-5434 · (734) 361-2191 · Fax (734) 361-9701

Phone(734) 361-2191

Fax(734) 361-9701

Organization SubpartNo

Authorized OfficialSultan QiblawiMember · (586) 530-6365

Enumeration DateMay 29, 2025

Last NPPES UpdateOctober 31, 2025

NPPES CertifiedOctober 31, 2025

✔ NPI 1780577999 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.

14700 FARMINGTON RD STE 105, Livonia, MI 48154

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Secondary Practice Location 1

Location 114797 Dix Toledo RdSouthgate, MI 48195-2507 · Phone (734) 887-6686 · Fax (734) 201-1921

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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 23D2335015

Summit Dermatology PLLC · Southgate, MI

Active · expires Dec 3, 2027

CLIA Number23D2335015

Laboratory TypePhysician Office

Certificate Effective DateDecember 4, 2025

Certificate Expiration DateDecember 3, 2027

Laboratory DirectorSultan Qiblawi

Laboratory Phone(734) 887-6686

Laboratory LocationSummit Dermatology PLLC14797 Dix Toledo Road, Southgate, MI 48195

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 5

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

DR. SULTAN QIBLAWI MD, MBA

Dermatology