Lynn Marie Sikorski, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5101009963 Issued in MI

Practice address

1900 S Telegraph Rd
Suite 100
Bloomfield Hills, MI 48302-0238

Phone

(248) 338-6400

Fax

(248) 338-2920

NPI assigned

Jul 19, 2005

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

Other identifiers 3

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

Michigan State University College of Osteopathic Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Dermatology Group PCGroup PAC ID 8325338148, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Legacy Dermatology Group PC

  • Dermatology Physician
  • Waterford, MI
  • NPI 1588019053
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1790784056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020238",
            "telephone_number": "248-338-6400",
            "fax_number": "248-338-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020238",
            "telephone_number": "248-338-6400",
            "fax_number": "248-338-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORSKI",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101009963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK PROVID.",
            "identifier": "44760",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3319129",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM INDIVIDUAL PIN",
            "identifier": "0156301155",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Sicilia, P.T.
• Reema Sofia Siddiqui, MD
• Amanda Rose Siecinski, OTR/L
• David Bruce Siegel, M.D., M.P.H.
• Sharon Cohen Siegel, M.D.
• Michael H Sikorsky, DO
• Marvin D Silver, MD
• Eric Randell Simmons
• Alexis N Simon, SLP-CF
• Lee Simon, PT, DPT

• Dermatology Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.