Michael James Visconti, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5101027977 Issued in MI

Practice address

361 N Canton Center Rd
Canton, MI 48187-5096

Phone

(734) 495-1506

Fax

(734) 495-1780

NPI assigned

Mar 30, 2020

Last updated

Aug 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Michigan State University College of Osteopathic Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Specialists of Canton PLLCGroup PAC ID 6507923976, 18 clinicians

Berry Dermatology PCGroup PAC ID 2466693387, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Merit-based Incentive Payment System (MIPS)

Final score

92.46 of 100Reported as group

Quality

91.13

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Berry Dermatology, P.C.

  dba Dermatology Specialists of Shelby

  • Dermatology Physician
  • Shelby Township, MI
  • NPI 1326386517
  Medicare reassignment Care Compare group NPD
• Dermatology Specialists of Canton, PLLC

  • Dermatology Physician
  • Canton, MI
  • NPI 1003069014
  Medicare reassignment Care Compare group NPD
• Dermatology & Phototherapy Center of Brighton, PLC

  • Dermatology Physician
  • Brighton, MI
  • NPI 1659624591
  Medicare reassignment NPD
• Dermatology Specialists of Grand Rapids, PLLC

  • MOHS-Micrographic Surgery Physician
  • Grand Rapids, MI
  • NPI 1821972548
  Medicare reassignment NPD
• Dermatology Specialists of Ann Arbor, PLLC

  • Dermatology Physician
  • Ann Arbor, MI
  • NPI 1689306680
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Mercy Hospital

  dba Trinity Heath Ann Arbor Hospital

  • General Acute Care Hospital
  • Ypsilanti, MI
  • NPI 1780658443
  Care Compare affiliation

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1235767856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875096",
            "telephone_number": "734-495-1506",
            "fax_number": "734-495-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875096",
            "telephone_number": "734-495-1506",
            "fax_number": "734-495-1780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 East Paris Ave SE Ste 104",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495463680",
            "country_code": "US",
            "telephone_number": "586-286-8720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISCONTI",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101027977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyle Victor, MD
• Christine Faith Victoria, M.D.
• Jerry Sherwin Vidis, RPH, MS
• Village Start Mihp
• Village Wellness Center PLLC (VWC)
• Vision Center of Canton PC
• Vision Without Limits LLC
• Visionworks, Inc. (Visionworks)
• Vital Flow Wellness and Chiropractic Centers PLLC (Brackney Chiropractic Health Center)
• Cindy Diane Vitale

• Dermatology Physician in Canton, MI
• Providers in Canton, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.

Verify at the official NPI Registry.