Individual provider Active NPI

Katherine Lynn Caretti, M.D.

  • Dermatology Physician
  • Grosse Pointe Woods, MI
National Provider Identifier
1376825174
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301098660 Issued in MI
Practice address
20045 Mack Ave
Grosse Pointe Woods, MI 48236-2322
Phone
(313) 884-5100
Fax
(313) 884-9446
NPI assigned
Sep 16, 2011
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301098660 MI Primary

Addresses

Primary practice location

20045 Mack Ave
Grosse Pointe Woods, MI 48236-2322

Mailing address

20045 Mack Ave
Grosse Pointe Woods, MI 48236-2322
Phone (313) 884-5100

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
I20150513000306 MI Practitioner - Dermatology 5799005898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ferrara Dermatology Clinic PCGroup PAC ID 3678501517, 3 clinicians

Practice addresses (Care Compare)

20045 Mack Ave
Grosse Pointe Woods, MI 48236-2322
Phone (313) 884-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.46 of 100Reported as group
Quality
88.1
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions959
Removal or shaving of skin growth13
Skin biopsy411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301098660MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ferrara Dermatology Clinic PC Dermatology CurrentSince Jul 1, 2015 Accepting new patients

Locations

20045 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 884-5100

Interoperability endpoints

  • Direct secure messaging: kcaretti1120157@direct.hfhs.org

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1376825174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20045 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362322",
            "telephone_number": "313-884-5100",
            "fax_number": "313-884-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20045 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362322",
            "telephone_number": "313-884-5100",
            "fax_number": "313-884-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARETTI",
        "first_name": "KATHERINE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301098660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.