Individual provider Active NPI

Michael L Saruk, M.D.

  • Procedural Dermatology Physician
  • Wilmington, DE
National Provider Identifier
1235197997
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
C1-0003908 Issued in DE
Practice address
3411 Silverside Rd
Suite 107; Webster Building
Wilmington, DE 19810-4812
Phone
(302) 478-8532
Fax
(302) 478-8536
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X MD024957E PA
Procedural Dermatology Physician 207NS0135X C1-0003908 DE Primary
Dermatopathology Physician 207ND0900X MD024957E PA
Dermatopathology Physician 207ND0900X C1-0003908 DE
MOHS-Micrographic Surgery Physician 207ND0101X MD024957E PA
MOHS-Micrographic Surgery Physician 207ND0101X C1-0003908 DE

Addresses

Primary practice location

3411 Silverside Rd
Suite 107; Webster Building
Wilmington, DE 19810-4812

Mailing address

3411 Silverside Rd
Suite 107; Webster Building
Wilmington, DE 19810-4812
Phone (302) 478-4350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20090518000270 DE Practitioner - DermatologyPractitioner - Pathology 9032016894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Rush Medical College of Rush University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3411 Silverside Rd
Suite 107
Wilmington, DE 19810-4806
Phone (302) 478-8532

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision74
Removal of tissue1-10
Removal of skin lesions1607
Removal of skin cancer61
Removal or shaving of skin growth168
Skin biopsy466

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0003908DEMDDermatopathology Physician
MD024957EPAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Dermatology Group LLC Mohs-Micrographic Surgery CurrentSince May 18, 2009 Accepting new patients
Dermatology Specialists of Delaware LLC Past Accepting new patients
Atlantic Skin & Cosmetic Surgery Group, P.C. Mohs-Micrographic Surgery PastSince Dec 18, 2003 Accepting new patients

Locations

3411 Silverside Rd
#107
Wilmington, DE 19810
Phone (302) 478-8532

3411 Silverside Rd
Ste 107
Wilmington, DE 19810
Phone (302) 478-2969

Interoperability endpoints

  • Direct secure messaging: msaruk@directaddress.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295222400000",
    "number": "1235197997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 SILVERSIDE RD",
            "address_2": "SUITE 107; WEBSTER BUILDING",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104812",
            "telephone_number": "302-478-4350",
            "fax_number": "302-478-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 SILVERSIDE RD",
            "address_2": "SUITE 107; WEBSTER BUILDING",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104812",
            "telephone_number": "302-478-8532",
            "fax_number": "302-478-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARUK",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD024957E",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "DE",
            "license": "C1-0003908",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "PA",
            "license": "MD024957E",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "DE",
            "license": "C1-0003908",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD024957E",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "DE",
            "license": "C1-0003908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.