Individual provider Active NPI

Arathi Rajendran Goldsmith, DO

  • Dermatology Physician
  • Dearborn, MI
National Provider Identifier
1437387404
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
AG018507 Issued in MI
Practice address
835 Mason St Ste C200
Dearborn, MI 48124-2231
Phone
(313) 274-5810
Fax
(313) 274-1499
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 AG018507 MI Primary

Addresses

Primary practice location

835 Mason St Ste C200
Dearborn, MI 48124-2231

Mailing address

835 Mason St
Suite C200
Dearborn, MI 48124
Phone (313) 274-5810

Other practice location 1

18550 Outer Dr
Dearborn, MI 48128-1872
Phone (313) 274-5810

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
I20120823000565 MI Practitioner - Dermatology 8123275377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

835 Mason St
Suite C200
Dearborn, MI 48124-2244
Phone (313) 274-5810

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision70
Removal of skin lesions800
Removal or shaving of skin growth1-10
Skin biopsy302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG018507MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Center for Dermatology PLLC CurrentSince Oct 1, 2014 Accepting new patients

Locations

835 Mason St
Ste C200
Dearborn, MI 48124
Phone (313) 274-5810

18550 Outer Dr
Dearborn, MI 48128
Phone (313) 274-5810

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00203

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437387404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 MASON ST",
            "address_2": "SUITE C200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-274-5810",
            "fax_number": "313-274-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 MASON ST STE C200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242231",
            "telephone_number": "313-274-5810",
            "fax_number": "313-274-1499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18550 Outer Dr",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481281872",
            "country_code": "US",
            "telephone_number": "313-274-5810",
            "fax_number": "313-274-1499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "ARATHI",
        "middle_name": "RAJENDRAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "AG018507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.