Individual provider Active NPI

Francisca M.S. Kartono Winardi, D.O.

  • Dermatology Physician
  • Northville, MI
National Provider Identifier
1508034232
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5101017339 Issued in MI
Practice address
133 W Main St Ste 251
Northville, MI 48167-1575
Phone
(248) 963-5915
Fax
(248) 278-4854
NPI assigned
Feb 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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 5101017339 MI Primary

Addresses

Primary practice location

133 W Main St Ste 251
Northville, MI 48167-1575

Mailing address

133 W Main St Ste 251
Northville, MI 48167-1575
Phone (248) 963-5915

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
I20121113000387 MI Practitioner - Dermatology 9032388004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
College of Osteo Med of the Pacific at Pomona, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mi Skin Center, PLLCGroup PAC ID 2567877145, 4 clinicians

Practice addresses (Care Compare)

133 W Main St
Suite 251
Northville, MI 48167-1575
Phone (248) 963-5915

Hospital & facility affiliations

  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of skin lesions504
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy175

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Skin Center, PLLC Dermatology CurrentSince Jan 10, 2021 Accepting new patients

Locations

133 W Main St
Ste 251
Northville, MI 48167
Phone (248) 963-5915

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00205
  • Direct secure messaging: fkartono1134179@direct.hfhs.org

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 3

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": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1508034232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W MAIN ST STE 251",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671575",
            "telephone_number": "248-963-5915",
            "fax_number": "248-278-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W MAIN ST STE 251",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671575",
            "telephone_number": "248-963-5915",
            "fax_number": "248-278-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARTONO WINARDI",
        "first_name": "FRANCISCA",
        "middle_name": "M.S.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101017339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.