Caitlin Flynn Porubsky, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5101025158 Issued in MI

Practice address

2305 Genoa Business Park Dr Ste 180
Brighton, MI 48114-7007

Phone

(810) 355-4300

Fax

(810) 355-4967

NPI assigned

Apr 22, 2014

Last updated

Aug 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Dermatology

Education

West Virginia University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Phototherapy Center of Brighton PLCGroup PAC ID 7618114695, 9 clinicians

Dermatology Specialists of Canton PLLCGroup PAC ID 6507923976, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
• Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cporubsky@dschd.emadirect.md
• Direct secure messaging: cporubsky@thedermspecialists.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology & Phototherapy Center of Brighton, PLC

  • Dermatology Physician
  • Brighton, MI
  • NPI 1659624591
  Medicare reassignment Care Compare group NPD
• Dermatology Specialists of Canton, PLLC

  • Dermatology Physician
  • Canton, MI
  • NPI 1003069014
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Mercy Livingston Hospital

  • General Acute Care Hospital
  • Brighton, MI
  • NPI 1093748642
  Care Compare affiliation
• St Joseph Mercy Hospital

  dba Trinity Heath Ann Arbor Hospital

  • General Acute Care Hospital
  • Ypsilanti, MI
  • NPI 1780658443
  Care Compare affiliation

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1548680218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43151 DALCOMA DR STE 4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386306",
            "telephone_number": "586-286-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 GENOA BUSINESS PARK DR STE 180",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147007",
            "telephone_number": "810-355-4300",
            "fax_number": "810-355-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORUBSKY",
        "first_name": "CAITLIN",
        "middle_name": "FLYNN",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101025158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CPorubsky@thedermspecialists.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2305 Genoa Business Park Dr Ste 180",
            "city": "Brighton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481147007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Lyn Pomerville, MA-CCC-SLP
• Leanne Marie Pominville
• Heather Popkey, LLMSW
• Raeanna Hope Porrett, MS, OTRL
• Michelle R Porter, DPT
• Daisy Poulson
• Marget Powers
• Pregnancy Helpline (Pregnancy Help Clinic)
• Premier Healthcare Staffing, Inc.
• Premier Home Care, LLC

• Dermatology Physician in Brighton, MI
• Providers in Brighton, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.