Individual provider Active NPI

Joseph A Stutz, MD

  • Dermatology Physician
  • Rochester, MI
National Provider Identifier
1447259056
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301068458 Issued in MI
Practice address
919 W University Dr Ste 100
Rochester, MI 48307-6905
Phone
(248) 651-9500
Fax
(248) 651-3366
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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 4301068458 MI Primary

Addresses

Primary practice location

919 W University Dr Ste 100
Rochester, MI 48307-6905

Mailing address

919 W University Dr Ste 100
Rochester, MI 48307-6905
Phone (248) 651-9500

Other identifiers 1

IdentifierTypeStateIssuer
4114411MedicaidMI

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
I20040427000476 MI Practitioner - Dermatology 4082600317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

919 W University Dr
Suite 100
Rochester, MI 48307-6905
Phone (248) 651-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision67
Removal of skin lesions1709
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy426

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301068458MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center of Rochester Hills, P.C. Dermatology CurrentSince Jul 1, 1999 Accepting new patients
Beyond Womens Care PC PastSince Jun 27, 2020 Accepting new patients
University Physician Group Dermatology Past Accepting new patients

Locations

919 W University Dr
Ste 100
Rochester, MI 48307
Phone (248) 651-9500

455 S Livernois Rd
Ste A12
Rochester Hills, MI 48307
Phone (248) 651-9500

Interoperability endpoints

  • Direct secure messaging: jstutz1154817@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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1447259056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 W UNIVERSITY DR STE 100",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483076905",
            "telephone_number": "248-651-9500",
            "fax_number": "248-651-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W UNIVERSITY DR STE 100",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483076905",
            "telephone_number": "248-651-9500",
            "fax_number": "248-651-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZ",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301068458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4114411",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

Verify at the official NPI Registry.