Individual provider Active NPI

Farhaad Rahman Riyaz, MD

  • Procedural Dermatology Physician
  • Lincoln Park, MI
National Provider Identifier
1063855286
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
4301502950 Issued in MI
Practice address
3677 Fort St
Lincoln Park, MI 48146-4116
Phone
(313) 312-9069
NPI assigned
Apr 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301502950 MI
Dermatology Physician 207N00000X 35.140316 OH
Procedural Dermatology Physician 207NS0135X 4301502950 MI Primary
Dermatopathology Physician 207ND0900X 4301502950 MI

Addresses

Primary practice location

3677 Fort St
Lincoln Park, MI 48146-4116

Mailing address

48766 Stoneridge Dr
Northville, MI 48168-8675
Phone (804) 991-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.140316OHMDDermatology Physician
4301502950MIMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Bolton, MD, PC CurrentSince Jan 17, 2021 Accepting new patients
Direct Dermatology & Aesthetics PLLC Dermatology CurrentSince Jul 2, 2023 Accepting new patients
University Dermatology Associates PLLC Dermatology PastSince Jul 1, 2018 Accepting new patients
Elizabeth Mitchell Dugan MD LLC Past Accepting new patients

Locations

28903 Woodward Ave
Berkley, MI 48072
Phone (248) 542-7141

3677 Fort St
Lincoln Park, MI 48146
Phone (313) 383-1300

47487 Five Mile Rd
Plymouth, MI 48170
Phone (313) 312-9069

Interoperability endpoints

  • Direct secure messaging: friyaz@directaddress.net

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1063855286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48766 STONERIDGE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688675",
            "telephone_number": "804-991-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481464116",
            "telephone_number": "313-312-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIYAZ",
        "first_name": "FARHAAD",
        "middle_name": "RAHMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301502950",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.140316",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MI",
            "license": "4301502950",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MI",
            "license": "4301502950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.