Individual provider Active NPI

Mariana Dimovski Atanasovski, M.D.

  • Dermatology Physician
  • Rochester, MI
National Provider Identifier
1346565355
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301096552 Issued in MI
Practice address
1000 W University Dr Ste 314
Rochester, MI 48307-1876
Phone
(248) 375-4033
Fax
(248) 375-4034
NPI assigned
Apr 1, 2010
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Dermatology Physician 207N00000X 4301096552 MI Primary

Addresses

Primary practice location

1000 W University Dr Ste 314
Rochester, MI 48307-1876

Mailing address

1000 W University Dr Ste 314
Rochester, MI 48307-1876
Phone (248) 375-4033

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
I20140710002554 MI Practitioner - Dermatology 1951526722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wayne State University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Dermatology PLLCGroup PAC ID 7113335951, 3 clinicians

Practice addresses (Care Compare)

1000 W University Dr
Suite 314
Rochester, MI 48307-1876
Phone (248) 375-4033

Merit-based Incentive Payment System (MIPS)

Final score
98.83 of 100Reported as group
Quality
100
Improvement activities
40
Cost
96.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions659
Removal or shaving of skin growth12
Skin biopsy239

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Bolton, MD, PC CurrentSince Aug 1, 2020 Accepting new patients
Modern Dermatology, PLLC Dermatology CurrentSince May 1, 2021 Accepting new patients

Locations

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

1000 W University Dr
Ste 202
Rochester, MI 48307
Phone (248) 375-4033

1000 W University Dr
Ste 314
Rochester Hls, MI 48307
Phone (248) 375-4033

58851 Van Dyke Rd
Ste 100
Washington Township, MI 48094
Phone (586) 992-2400

Interoperability endpoints

  • Direct secure messaging: matanasovski1115563@direct.hfhs.org

Organizations & group practices 2

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": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1346565355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W UNIVERSITY DR STE 314",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071876",
            "telephone_number": "248-375-4033",
            "fax_number": "248-375-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W UNIVERSITY DR STE 314",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071876",
            "telephone_number": "248-375-4033",
            "fax_number": "248-375-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATANASOVSKI",
        "first_name": "MARIANA",
        "middle_name": "DIMOVSKI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301096552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

Verify at the official NPI Registry.