Individual provider Active NPI

Anil Singal, MD

  • Dermatology Physician
  • Chelsea, MI
National Provider Identifier
1417154006
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301089566 Issued in MI
Practice address
420 N Main St Ste 600
Chelsea, MI 48118-1703
Phone
(734) 385-7255
Fax
(734) 274-4925
NPI assigned
Jun 28, 2007
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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 4301089566 MI Primary

Addresses

Primary practice location

420 N Main St Ste 600
Chelsea, MI 48118-1703

Mailing address

420 N Main St Ste 600
Chelsea, MI 48118-1703
Phone (734) 385-7255

Other identifiers 1

IdentifierTypeStateIssuer
CONTR SUBS LICEOtherMICONTROLLED SUBSTANCE LICE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asingal@adultandpedderm.emadirect.md

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
I20130906000857 MI Practitioner - Dermatology 0446445944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians
Adult and Pediatric Dermatology PLLCGroup PAC ID 8123261369, 6 clinicians

Practice addresses (Care Compare)

420 N Main St
Suite 600
Chelsea, MI 48118-1703
Phone (734) 385-7255

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision64
Removal of skin lesions1507
Removal or shaving of skin growth1-10
Skin biopsy668

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301089566MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adult & Pediatric Dermatology PLLC Dermatology CurrentSince Oct 1, 2013 Accepting new patients
Forefront Dermatology, S.C. Dermatology PastSince Jun 27, 2021 Accepting new patients

Locations

350 N Main St
Ste 250
Chelsea, MI 48118
Phone (734) 385-7255

420 N Main St
Ste 600
Chelsea, MI 48118
Phone (734) 385-7211

Interoperability endpoints

  • Direct secure messaging: asingal@adultandpedderm.emadirect.md
  • Direct secure messaging: asingal780728@direct.hfhs.org

Organizations & group practices 3

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 4

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1417154006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST STE 600",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181703",
            "telephone_number": "734-385-7255",
            "fax_number": "734-274-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST STE 600",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181703",
            "telephone_number": "734-385-7255",
            "fax_number": "734-274-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGAL",
        "first_name": "ANIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301089566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE LICE",
            "identifier": "CONTR SUBS LICE",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asingal@adultandpedderm.emadirect.md",
            "affiliation": "N",
            "address_1": "420 N Main St Ste 600",
            "city": "Chelsea",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481181703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.