Individual provider Active NPI

Chelsea Luther, M.D.

  • Dermatology Physician
  • Canton, MI
National Provider Identifier
1649629510
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301110305 Issued in MI
Practice address
285 N Lilley Rd
Canton, MI 48187-3907
Phone
(734) 495-1506
Fax
(734) 495-1780
NPI assigned
Jun 10, 2016
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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 4301110305 MI Primary

Addresses

Primary practice location

285 N Lilley Rd
Canton, MI 48187-3907

Mailing address

43151 Dalcoma Dr Ste 4
Clinton Township, MI 48038-6306
Phone (586) 286-8720

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
I20200909003162 MI Practitioner - Dermatology 1254601313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Michigan State University College of Human Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of Canton PLLCGroup PAC ID 6507923976, 18 clinicians

Practice addresses (Care Compare)

285 N Lilley Rd
Canton, MI 48187-3907
Phone (734) 495-1506

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.88 of 100Reported as individual
Quality
53.43
Promoting interoperability
100
Improvement activities
20

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21
Removal of skin lesions604
Removal or shaving of skin growth11
Skin biopsy123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301110305MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of Canton, PLLC Dermatology CurrentSince Aug 1, 2020 Accepting new patients
Dermatology & Phototherapy Center of Brighton, PLC Dermatology CurrentSince Apr 1, 2021 Accepting new patients
S L Husain Hamzavi MD PC Dermatology PastSince Aug 1, 2020 Accepting new patients
Henry Ford Health System Past Accepting new patients

Locations

2305 Genoa Business Park Dr
Ste 180
Brighton, MI 48114
Phone (810) 227-3232

285 N Lilley Rd
Canton, MI 48187
Phone (734) 495-1506

285 N Lilley Rd
Canton, MI 48187
Phone (734) 495-1506

361 N Canton Center Rd
Canton, MI 48187
Phone (734) 495-1506

43151 Dalcoma Dr
Clinton Twp, MI 48038
Phone 5862868720308

43151 Dalcoma Dr
Ste 4
Clinton Twp, MI 48038
Phone (586) 228-7568

43151 Dalcoma Dr
Ste 6
Clinton Twp, MI 48038

Interoperability endpoints

  • Direct secure messaging: cluther@dschd.emadirect.md
  • Direct secure messaging: cluther874794@direct.trinity-health.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1649629510",
    "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",
            "fax_number": "586-649-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 N LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873907",
            "telephone_number": "734-495-1506",
            "fax_number": "734-495-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHER",
        "first_name": "CHELSEA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301110305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.