Individual provider Active NPI

Andrew Michael Lofman, MD

  • Plastic Surgery Physician
  • Miami, FL
National Provider Identifier
1093766040
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME168028 Issued in FL
Practice address
730 NW 107TH Ave Ste 115
Miami, FL 33172-3104
Phone
(786) 607-8979
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 4301083297 MI
Plastic Surgery Physician 208200000X ME168028 FL Primary

Addresses

Primary practice location

730 NW 107TH Ave Ste 115
Miami, FL 33172-3104

Mailing address

42450 W 12 Mile Rd Ste 100
Novi, MI 48377-3011
Phone (248) 540-2100

Other practice location 1

42450 W 12 Mile Rd Ste 100
Novi, MI 48377-3011
Phone (248) 540-2100

Other identifiers 3

IdentifierTypeStateIssuer
2406354242OtherMIBCBSM
I54227OtherMIHAP
4899248MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060720000108 MI Practitioner - Plastic and Reconstructive Surgery 4981617735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

42450 W 12 Mile Rd
Suite 100
Novi, MI 48377-3011
Phone (248) 540-2100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME168028FLMDPlastic Surgery Physician
4301083297MIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery of Michigan Plastic Surgery CurrentSince Jul 1, 2006 Accepting new patients
Lofman Plastic Surgery, PLLC Plastic Surgery Current Accepting new patients

Locations

23975 Novi Rd
Ste A102
Novi, MI 48375
Phone (248) 305-8875

42450 W Twelve Mile Rd
Ste 100
Novi, MI 48377
Phone (248) 305-7029

Interoperability endpoints

  • Direct secure messaging: alofman@direct.dmc.org
  • Direct secure messaging: aloffman355702@direct.hfhs.org

Organizations & group practices 3

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1093766040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42450 W 12 MILE RD STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773011",
            "telephone_number": "248-540-2100",
            "fax_number": "248-540-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 NW 107TH AVE STE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723104",
            "telephone_number": "786-607-8979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42450 W 12 Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483773011",
            "country_code": "US",
            "telephone_number": "248-540-2100",
            "fax_number": "248-540-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOFMAN",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301083297",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME168028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2406354242",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "I54227",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4899248",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.