Individual provider Active NPI

Leonard Yale Kerwin, M.D.

  • Dermatology Physician
  • West Bloomfield, MI
National Provider Identifier
1942525837
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301096099 Issued in MI
Practice address
6330 Orchard Lake Rd Ste 120
West Bloomfield, MI 48322-2398
Phone
(248) 462-6045
NPI assigned
Apr 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 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 4301096099 MI Primary

Addresses

Primary practice location

6330 Orchard Lake Rd Ste 120
West Bloomfield, MI 48322-2398

Mailing address

6330 Orchard Lake Rd Ste 120
West Bloomfield, MI 48322-2398
Phone (248) 462-6045

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
I20150629002529 MI Practitioner - Dermatology 8022233493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wayne State University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Center for Dermatology and Pathology PLLCGroup PAC ID 0446330492, 49 clinicians

Practice addresses (Care Compare)

31275 Northwestern Hwy
Suite 140
Farmington Hills, MI 48334-2531
Phone (248) 538-0109

43900 Garfield Rd
Clinton Township, MI 48038-1137
Phone (586) 286-0112

46325 W 12 Mile Rd
Suite 370 Associated Dermatologists
Novi, MI 48377-2464
Phone (248) 482-2107

6330 Orchard Lake Rd
Suite 120
West Bloomfield, MI 48322-2398
Phone (248) 462-6045

Hospital & facility affiliations

  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
92.46 of 100Reported as group
Quality
91.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision216
Removal of skin lesions1029
Removal of skin cancer463
Removal or shaving of skin growth14
Skin biopsy281

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Dermatology & Pathology, PLLC CurrentSince Aug 2, 2021 Accepting new patients
University Physician Group Dermatology CurrentSince Jul 6, 2015 Accepting new patients
University Physician Group CurrentSince Jul 6, 2015 Accepting new patients

Locations

43900 Garfield Rd
Ste 100
Clinton Twp, MI 48038
Phone (586) 286-0112

9640 Commerce Rd
Ste 100
Commerce Township, MI 48382
Phone (248) 482-2101

18100 Oakwood Blvd
Ste 300
Dearborn, MI 48124
Phone (313) 240-4900

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

46325 W Twelve Mile Rd
Ste 370
Novi, MI 48377
Phone (248) 482-2103

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Interoperability endpoints

  • Direct secure messaging: lkerwin1134507@direct.hfhs.org
  • Direct secure messaging: lkerwin@mwcd.emadirect.md

Organizations & group practices 3

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 11

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1942525837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 ORCHARD LAKE RD STE 120",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222398",
            "telephone_number": "248-462-6045",
            "fax_number": "248-855-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 ORCHARD LAKE RD STE 120",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222398",
            "telephone_number": "248-462-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERWIN",
        "first_name": "LEONARD",
        "middle_name": "YALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-02",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301096099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.