Active NPI
Mark Goralewski, MD
- Dermatology Physician
- Livonia, MI
National Provider Identifier
1013395961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 4301108000
- Practice address
- 14801 Farmington Rd
Livonia, MI 48154-5429 - Phone
- (734) 542-8100
- NPI assigned
- May 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 4301108000 | MI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
14801 Farmington Rd
Livonia, MI 48154-5429
Mailing address
14801 Farmington Rd
Livonia, MI 48154-5429
Other practice location 1
1101 W University Dr
3-North
Rochester, MI 48307-1863
Phone (248) 941-6857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Wayne State University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14801 Farmington Rd
Livonia, MI 48154-5429
Phone (734) 542-8100
Hospital & facility affiliations
- Beaumont Hospital - Farmington Hills
Merit-based Incentive Payment System (MIPS)
- Final score
- 55 of 100
- Quality
- 10
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 45 |
| Removal of skin lesions | 2104 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 446 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livonia Dermatology PLLC | Dermatology | Current | Accepting new patients |
Locations
14801 Farmington Rd
Livonia, MI 48154
Phone (313) 444-0064
Interoperability endpoints
- mgoralewski293674@direct.hfhs.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Livonia, MI
- NPI 1457406217
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1013395961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14801 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14801 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545429",
"telephone_number": "734-542-8100"
}
],
"practiceLocations": [
{
"address_1": "1101 W University Dr",
"address_2": "3-North",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MI",
"postal_code": "483071863",
"country_code": "US",
"telephone_number": "248-941-6857",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORALEWSKI",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-12",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "4301108000",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.