Individual provider Active NPI

Joshua Bornstein, MD

  • Dermatology Physician
  • Ann Arbor, MI
National Provider Identifier
1437500360
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301110619 Issued in MI
Practice address
2411 Oak Valley Dr Ste 400
Ann Arbor, MI 48103-7600
Phone
(734) 926-9908
NPI assigned
Jun 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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 4301110619 MI Primary

Addresses

Primary practice location

2411 Oak Valley Dr Ste 400
Ann Arbor, MI 48103-7600

Mailing address

2411 Oak Valley Dr Ste 400
Ann Arbor, MI 48103-7600

Other practice location 1

6100 Newport Rd Ste 100
Portage, MI 49002-9235
Phone (269) 343-4679

Other practice location 2

416 S Creyts Rd Ste A
Lansing, MI 48917-8290
Phone (517) 886-0333

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
I20200722000799 MI Practitioner - Dermatology 9133406846 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Michigan PCGroup PAC ID 0941511224, 40 clinicians

Practice addresses (Care Compare)

2411 Oak Valley Dr
Suite 400
Ann Arbor, MI 48103-7600
Phone (734) 926-9908

416 S Creyts Rd
Lansing, MI 48917-8290
Phone (517) 866-0333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
81.43
Promoting interoperability
82
Improvement activities
40
Cost
80.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions481
Removal or shaving of skin growth1-10
Skin biopsy110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Audrey Bruell, M.D. P.C. Dermatology Current Accepting new patients
Advanced Dermatology of Michigan PC Dermatology CurrentSince Apr 1, 2024 Accepting new patients
Bornstein Group, PLLC Dermatology CurrentSince Dec 27, 2021 Accepting new patients
Kalamazoo Dermatology, P.C. Dermatology PastSince Apr 1, 2024 Accepting new patients

Locations

2411 Oak Valley Dr
Ste 400
Ann Arbor, MI 48103
Phone (734) 926-9908

416 S Creyts Rd
Lansing, MI 48917
Phone (517) 327-0966

416 S Creyts Rd
Ste A
Lansing, MI 48917
Phone (517) 886-0333

37605 Pembroke Ave
Livonia, MI 48152
Phone (734) 591-7931

4170 Cedar Bluff Dr
Petoskey, MI 49770

6100 Newport Rd
Ste 100
Portage, MI 49002
Phone (269) 343-4679

13450 E 12 Mile Rd
Warren, MI 48088
Phone (586) 759-5525

Organizations & group practices 5

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 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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1437500360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 OAK VALLEY DR STE 400",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 OAK VALLEY DR STE 400",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037600",
            "telephone_number": "734-926-9908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Newport Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490029235",
            "country_code": "US",
            "telephone_number": "269-343-4679",
            "fax_number": "269-343-5929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 S Creyts Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489178290",
            "country_code": "US",
            "telephone_number": "517-886-0333",
            "fax_number": "517-886-2072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORNSTEIN",
        "first_name": "JOSHUA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301110619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.