Individual provider Active NPI

Novie Sroa, MD

  • Dermatology Physician
  • East Lansing, MI
National Provider Identifier
1467574343
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
EMC0005108 Issued in MI
Practice address
2601 Coolidge Rd Ste 200
East Lansing, MI 48823-6381
Phone
(517) 203-3000
Fax
(517) 203-3003
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X S0228 TX
Dermatology Physician 207N00000X EMC0005108 MI Primary

Addresses

Primary practice location

2601 Coolidge Rd Ste 200
East Lansing, MI 48823-6381

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

305 E Eisenhower Pkwy Ste 320
Ann Arbor, MI 48108-3348
Phone (734) 800-2055

Other identifiers 2

IdentifierTypeStateIssuer
8LQ705OtherTXBCBS
402673401MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Novie.Sroa@forefrontdermatology.emadirect.md
Direct Messaging Address Novie.Sroa@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190924003029 TX Practitioner - Dermatology 5496888612 Reassigns benefits to 1 organization
I20240521004087 MI Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 5496888612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Ohio State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

2601 Coolidge Rd
Suite 200
East Lansing, MI 48823-6381
Phone (517) 203-3000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions35
Removal of skin cancer1-10
Skin biopsy87

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Mar 6, 2026 Accepting new patients
Wise Clinical Care Associates CurrentSince Aug 20, 2019 Accepting new patients
Decatur Hospital Authority Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Mar 6, 2026 Accepting new patients
Wise Clinical Care Associates PastSince Sep 8, 2019 Accepting new patients
Derm Texas LLC Dermatology PastSince Jul 20, 2021 Accepting new patients

Locations

305 E Eisenhower Pkwy
Ste 320
Ann Arbor, MI 48108
Phone (734) 800-2005

2601 Coolidge Rd
Ste 200
East Lansing, MI 48823
Phone (517) 203-3000

133 N FM 730
Unit 105
Boyd, TX 76023
Phone (940) 433-2151

2014 Ben Merritt Dr
Ste B
Decatur, TX 76234
Phone (940) 626-2962

2000 Ben Merritt Dr
Ste B
Decatur, TX 76234
Phone (940) 539-0707

2000 Ben Merritt Dr
Unit B
Decatur, TX 76234
Phone (940) 626-2420

12850 Dallas Pkwy
Ste 300
Frisco, TX 75033
Phone (469) 214-5202

27045 E University Dr
Ste 1A
Little Elm, TX 76227
Phone (972) 213-6210

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: noviesroa@wise.allscriptsdirect.net
  • Direct secure messaging: novie.sroa@forefrontdermatology.emadirect.md

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1467574343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 COOLIDGE RD STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236381",
            "telephone_number": "517-203-3000",
            "fax_number": "517-203-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 E Eisenhower Pkwy Ste 320",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481083348",
            "country_code": "US",
            "telephone_number": "734-800-2055",
            "fax_number": "734-800-2056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SROA",
        "first_name": "NOVIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S0228",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "EMC0005108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8LQ705",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402673401",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Novie.Sroa@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "305 E Eisenhower Pkwy Ste 320",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481083348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Novie.Sroa@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2601 Coolidge Rd Ste 200",
            "city": "East Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488236381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.