Individual provider Active NPI

Arjun Dupati, MD

  • Dermatology Physician
  • Rochester Hills, MI
National Provider Identifier
1679987127
Registry record updated May 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301105283 Issued in MI
Practice address
555 Barclay Cir Ste 170
Rochester Hills, MI 48307-4574
Phone
(248) 436-4888
Fax
(248) 294-1388
NPI assigned
Jun 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2022

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 4301105283 MI Primary

Addresses

Primary practice location

555 Barclay Cir Ste 170
Rochester Hills, MI 48307-4574

Mailing address

5811 Firwood Dr
Troy, MI 48098-2510
Phone (248) 840-2188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY2 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
I20180614000921 MI Practitioner - Dermatology 4385951128 Reassigns benefits to 2 organizations
I20191224000299 NY Practitioner - Dermatology 4385951128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jona K Gill MD PCGroup PAC ID 4880645019, 4 clinicians

Practice addresses (Care Compare)

14650 E Old US Hwy 12
Suite 308
Chelsea, MI 48118-1805
Phone (734) 475-3221

555 Barclay Cir
Suite 170
Rochester Hills, MI 48307-4574
Phone (248) 436-4888

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision43
Removal of skin lesions959
Removal of skin cancer76
Removal or shaving of skin growth66
Skin biopsy201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301105283MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Nov 9, 2019 Accepting new patients
Dupati Group PLLC Dermatology CurrentSince Sep 4, 2019 Accepting new patients
Jona K Gill MD PC Dermatology CurrentSince Jul 1, 2022 Accepting new patients
Rochester General Hospital Dermatology CurrentSince Nov 9, 2019 Accepting new patients
Rochester General Hospital CurrentSince Nov 9, 2019 Accepting new patients

Locations

14650 E Old US Highway 12
Ste 308
Chelsea, MI 48118
Phone (734) 475-3221

555 Barclay Cir
Ste 170
Rochester Hills, MI 48307
Phone (248) 436-4888

1349 S Rochester Rd
Ste 100
Rochester Hills, MI 48307
Phone (248) 759-5460

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Organizations & group practices 5

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653782400000",
    "number": "1679987127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 FIRWOOD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982510",
            "telephone_number": "248-840-2188",
            "fax_number": "248-294-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BARCLAY CIR STE 170",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074574",
            "telephone_number": "248-436-4888",
            "fax_number": "248-294-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPATI",
        "first_name": "ARJUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2022-05-29",
        "certification_date": "2022-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301105283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.