Individual provider Active NPI

Michael Thomas Goldfarb, M.D.

  • Dermatology Physician
  • Dearborn, MI
National Provider Identifier
1467422923
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301045024 Issued in MI
Practice address
2051 Monroe St
Dearborn, MI 48124-2920
Phone
(313) 563-1212
Fax
(313) 563-6069
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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 4301045024 MI Primary

Addresses

Primary practice location

2051 Monroe St
Dearborn, MI 48124-2920

Mailing address

2051 Monroe St
Dearborn, MI 48124-2920
Phone (313) 563-1212

Other identifiers 1

IdentifierTypeStateIssuer
1650547MedicaidMI

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
I20080515000142 MI Practitioner - Dermatology 8628147717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2051 Monroe St
Dearborn, MI 48124-2920
Phone (313) 563-1212

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision110
Removal of skin lesions1125
Removal or shaving of skin growth1-10
Skin biopsy596

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301045024MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael T Goldfarb MD PC Dermatology CurrentSince Jan 17, 2011 Accepting new patients

Locations

2051 Monroe St
Dearborn, MI 48124
Phone (313) 563-1212

Interoperability endpoints

  • Direct secure messaging: mgoldfarb45427@direct.med.umich.edu

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1467422923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242920",
            "telephone_number": "313-563-1212",
            "fax_number": "313-563-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242920",
            "telephone_number": "313-563-1212",
            "fax_number": "313-563-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFARB",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301045024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1650547",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.