Mariana Dimovski Atanasovski, M.D.
Individual provider Active NPI Dermatology Physician · Rochester, MI
NPI 1346565355 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1346565355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 4301096552 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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 PLLC
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 96.09
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal of skin lesions | 659 |
| Removal or shaving of skin growth | 12 |
| Skin biopsy | 239 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140710002554 | MI | Practitioner - Dermatology | 1951526722 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301096552 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Dermatology, PLLC | Dermatology | Current |
Accepting new patients |
| Alan Bolton, MD, PC | Current |
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
- matanasovski1115563@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | ||
| Dermatology Physician | 207N00000X | 4301096552 | MI | Yes |
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
Other providers in Rochester, MI
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- Pierre Chafic Atallah
- Pierre Charbel Atallah
- Laura Ann Aubin
- Jasmine Aulakh
- John L. Aurelia
- Dan Austin
- Ashraf Nasief Azer
All providers in Rochester, MI · Dermatology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.