Active NPI
Direct Dermatology & Aesthetics PLLC
- Dermatology Physician
- Plymouth, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DIRECT DERMATOLOGY & AESTHETICS PLLC
- Practice address
- 47487 Five Mile Rd
Plymouth, MI 48170-2418 - Phone
- (313) 312-9069
- NPI assigned
- Feb 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Farhaad Riyaz, MD
- Title
- Dermatologist
- Phone
- (703) 615-6569
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Dermatopathology Physician | 207ND0900X | |||
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | |||
| Pediatric Dermatology Physician | 207NP0225X | |||
| Procedural Dermatology Physician | 207NS0135X |
Addresses
Primary practice location
47487 Five Mile Rd
Plymouth, MI 48170-2418
Mailing address
48766 Stoneridge Dr
Northville, MI 48168-8675
Phone (703) 615-6569
Other practice location 1
48766 Stoneridge Dr
Northville, MI 48168-8675
Phone (703) 615-6569
Other practice location 2
3677 Fort St
Lincoln Park, MI 48146-4116
Phone (313) 312-9069
National Provider Directory
National Provider DirectoryLocations
47487 Five Mile Rd
Plymouth, MI 48170
Phone (313) 312-9069
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Procedural Dermatology Physician
- Lincoln Park, MI
- NPI 1063855286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779580800000",
"number": "1376240234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48766 STONERIDGE DR",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481688675",
"telephone_number": "703-615-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47487 FIVE MILE RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481702418",
"telephone_number": "313-312-9069"
}
],
"practiceLocations": [
{
"address_1": "48766 Stoneridge Dr",
"address_purpose": "LOCATION",
"city": "Northville",
"state": "MI",
"postal_code": "481688675",
"country_code": "US",
"telephone_number": "703-615-6569",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3677 Fort St",
"address_purpose": "LOCATION",
"city": "Lincoln Park",
"state": "MI",
"postal_code": "481464116",
"country_code": "US",
"telephone_number": "313-312-9069",
"fax_number": "703-994-4057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DIRECT DERMATOLOGY & AESTHETICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-10",
"last_updated": "2026-05-24",
"certification_date": "2026-05-24",
"status": "A",
"authorized_official_last_name": "RIYAZ",
"authorized_official_first_name": "FARHAAD",
"authorized_official_title_or_position": "DERMATOLOGIST",
"authorized_official_telephone_number": "703-615-6569",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NI0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Pediatric Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.