Active NPI
Megan Reif Iacco, M.D.
- Dermatology Physician
- Plymouth, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 4301098879
- Practice address
- 9398 N Lilley Rd
Plymouth, MI 48170-4610 - Phone
- (734) 344-4567
- Fax
- (734) 669-1104
- NPI assigned
- Jun 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 4301098879 | MI | Primary |
Addresses
Primary practice location
9398 N Lilley Rd
Plymouth, MI 48170-4610
Mailing address
24 Frank Lloyd Wright Dr
J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | iacco@gangerderm.emadirect.md |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Michigan Medical School, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
49200 Wixom Tech Dr
Ganger Dermatology
Wixom, MI 48393-3560
Phone (734) 344-4567
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.18 of 100
- Quality
- 89.06
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 89.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 466 |
| Skin biopsy | 154 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301098879 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laura K Ganger, M.D. P.C. | Dermatology | Current | Accepting new patients |
Locations
7397 Solutions Ctr
Chicago, IL 60677
1979 S Huron Pkwy
Ann Arbor, MI 48104
Phone (734) 344-4567
9398 N Lilley Rd
Plymouth, MI 48170
Phone (734) 254-0453
650 S Main St
Plymouth, MI 48170
Phone (734) 344-4567
49200 Wixom Tech Dr
Wixom, MI 48393
Phone (734) 344-4567
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.
-
- Dermatology Physician
- Ann Arbor, MI
- NPI 1720347248
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1740577667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR",
"address_2": "J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-747-6766",
"fax_number": "734-222-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9398 N LILLEY RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704610",
"telephone_number": "734-344-4567",
"fax_number": "734-669-1104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACCO",
"first_name": "MEGAN",
"middle_name": "REIF",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "4301098879",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "iacco@gangerderm.emadirect.md",
"affiliation": "N",
"address_1": "9398 N Lilley Rd",
"city": "Plymouth",
"state": "MI",
"country_code": "US",
"postal_code": "481704610",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.