Individual provider Active NPI

Miguel Angel Herrera-Martinez, MD

  • Dermatology Physician
  • Saint Clair Shores, MI
National Provider Identifier
1669823357
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301510408 Issued in MI
Practice address
26901 Harper Ave
Saint Clair Shores, MI 48081-1971
Phone
(248) 726-7646
Fax
(586) 238-2151
NPI assigned
Jun 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 4301510408 MI
Internal Medicine Physician 207R00000X MT211930 PA
Dermatology Physician 207N00000X 4301510408 MI Primary

Addresses

Primary practice location

26901 Harper Ave
Saint Clair Shores, MI 48081-1971

Mailing address

26901 Harper Ave
Saint Clair Shores, MI 48081-1971
Phone (248) 726-7646

Other practice location 1

20 W Clarkston Rd
Lake Orion, MI 48362-2972
Phone (248) 726-7646

Other practice location 2

330 Brookline Ave
Boston, MA 02215-5491
Phone (617) 667-3753

Other practice location 3

301 Chestnut St
apt 1911
Harrisburg, PA 17101-2755
Phone (586) 381-8121

Other practice location 4

6100 Newport Rd Ste 100
Portage, MI 49002-9235
Phone (269) 343-4679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220831002885 TN Practitioner - Dermatology 4880987031 Reassigns benefits to 1 organization
I20221025003071 MS Practitioner - Dermatology 4880987031 Reassigns benefits to 1 organization
I20240812002470 MI Practitioner - Dermatology 4880987031 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wayne State University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Art of Dermatology PLLCGroup PAC ID 9830441690, 14 clinicians
Advanced Dermatology of Michigan PCGroup PAC ID 0941511224, 40 clinicians

Practice addresses (Care Compare)

20 W Clarkston Rd
Lake Orion, MI 48362-2972
Phone (248) 726-7646

28903 Woodward Ave
Berkley, MI 48072-0924
Phone (248) 581-0333

6100 Newport Rd
Suite 100
Portage, MI 49002-9235
Phone (269) 343-4679

Hospital & facility affiliations

  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision100
Removal of skin lesions79
Removal of skin cancer371
Removal or shaving of skin growth1-10
Skin biopsy73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301510408MIMDDermatology Physician
MT211930PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Bolton, MD, PC CurrentSince Jun 1, 2025 Accepting new patients
Art of Dermatology PLLC Dermatology CurrentSince Jun 1, 2025 Accepting new patients
Advanced Dermatology and Skin Cancer Associates, PLLC CurrentSince Oct 1, 2022 Accepting new patients
Advanced Dermatology of Michigan PC Dermatology CurrentSince May 15, 2025 Accepting new patients
Lighthouse Dermatology and Skin Cancer Specialists Dermatology CurrentSince Jul 1, 2024 Accepting new patients
Semmes-Murphey Clinic PC PastSince Oct 1, 2022 Accepting new patients
Kalamazoo Dermatology, P.C. Dermatology PastSince May 15, 2025 Accepting new patients

Locations

250 W Eisenhower Pkwy
Ste 100
Ann Arbor, MI 48103
Phone (313) 665-6638

28903 Woodward Ave
Berkley, MI 48072
Phone (248) 542-7141

42505 Woodward Ave
Ste 200
Bloomfield Hills, MI 48304
Phone (248) 353-0818

43650 Garfield Rd
Ste 200
Clinton Township, MI 48038

20 W Clarkston Rd
Lake Orion, MI 48362
Phone (248) 726-7646

16826 Newburgh Rd
Livonia, MI 48154
Phone (734) 464-8400

44000 W Twelve Mile Rd
Ste 201
Novi, MI 48377
Phone (313) 831-0777

4170 Cedar Bluff Dr
Petoskey, MI 49770

6100 Newport Rd
Ste 100
Portage, MI 49002
Phone (269) 343-4679

13717 23 Mile Rd
Shelby Township, MI 48315
Phone (586) 580-9417

13745 23 Mile Rd
Shelby Township, MI 48315
Phone (586) 566-5951

26901 Harper Ave
St Clair Shrs, MI 48081
Phone (248) 726-7646

28300 Harper Ave
St Clr Shores, MI 48081
Phone (586) 776-2498

189 E Big Beaver Rd
Ste 100
Troy, MI 48083

13450 E 12 Mile Rd
Warren, MI 48088
Phone (586) 759-5525

1500 Eureka Rd
Wyandotte, MI 48192
Phone (734) 282-2500

7203 Goodman Rd
Olive Branch, MS 38654
Phone (901) 759-2322

7658 Poplar Pike
Memphis, TN 38138
Phone (901) 322-2322

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.

Hospital & facility affiliations 1

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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1669823357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811971",
            "telephone_number": "248-726-7646",
            "fax_number": "586-238-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26901 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811971",
            "telephone_number": "248-726-7646",
            "fax_number": "586-238-2151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 W Clarkston Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483622972",
            "country_code": "US",
            "telephone_number": "248-726-7646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Brookline Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022155491",
            "country_code": "US",
            "telephone_number": "617-667-3753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Chestnut St",
            "address_2": "apt 1911",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171012755",
            "country_code": "US",
            "telephone_number": "586-381-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6100 Newport Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490029235",
            "country_code": "US",
            "telephone_number": "269-343-4679",
            "fax_number": "269-343-5929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA-MARTINEZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MI",
            "license": "4301510408",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT211930",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301510408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.