Active NPI
Michael L Saruk, M.D.
- Procedural Dermatology Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- C1-0003908
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- 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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 74 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1607 |
| Removal of skin cancer | 61 |
| Removal or shaving of skin growth | 168 |
| Skin biopsy | 466 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0003908 | DE | MD | Dermatopathology Physician |
| MD024957E | PA | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Valley Dermatology Group LLC | Mohs-Micrographic Surgery | Current | Accepting new patients |
| Dermatology Specialists of Delaware LLC | Past | Accepting new patients | |
| Atlantic Skin & Cosmetic Surgery Group, P.C. | Mohs-Micrographic Surgery | Past | 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
- 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.
-
- Dermatology Physician
- Wilmington, DE
- NPI 1568602969
Mohs-Micrographic Surgery
-
- Dermatology Physician
- Wilmington, DE
- NPI 1073556874
Mohs-Micrographic Surgery
-
- Dermatology Physician
- Wilmington, DE
- NPI 1275309015
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; 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.