Individual provider Active NPI

Alexis Whitney Buffington, DO

  • Dermatology Physician
  • Dearborn, MI
National Provider Identifier
1407389406
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5151013520 Issued in MI
Practice address
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone
(313) 436-2581
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 5151013520 MI Primary

Addresses

Primary practice location

18101 Oakwood Blvd
Dearborn, MI 48124-4089

Mailing address

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 436-2581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230630000987 NV Practitioner - Dermatology 3274867536
I20251111003190 OR Practitioner - Dermatology 3274867536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clackamas Dermatology PCGroup PAC ID 4183618440, 11 clinicians

Practice addresses (Care Compare)

12605 SE 97TH Ave
Clackamas, OR 97015-9706
Phone (503) 654-7546

545 SE Oak St
Hillsboro, OR 97123-4147
Phone (503) 654-7546

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions1058
Removal or shaving of skin growth1-10
Skin biopsy299

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fife Dermatology, P.C. Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
Clackamas Dermatology PC Single Specialty CurrentSince Dec 6, 2025 Accepting new patients

Locations

1736 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 255-6647

6460 Medical Center St
Ste 350
Las Vegas, NV 89148
Phone (702) 255-6647

2110 E Flamingo Rd
Ste 213
Las Vegas, NV 89119
Phone (702) 255-6647

6460 Medical Center St
Ste 200
Las Vegas, NV 89148
Phone (702) 255-6647

12605 SE 97th Ave
Clackamas, OR 97015
Phone (503) 654-7546

545 SE Oak St
Hillsboro, OR 97123
Phone (503) 654-7546

545 SE Oak St
Ste B
Hillsboro, OR 97123
Phone (503) 648-6159

Interoperability endpoints

  • Direct secure messaging: abuffington@sdlc.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1407389406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244089",
            "telephone_number": "313-436-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244089",
            "telephone_number": "313-436-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFINGTON",
        "first_name": "ALEXIS",
        "middle_name": "WHITNEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5151013520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.