Organization Active NPI

Dermatology Center of Rochester Hills, P.C.

  • Dermatology Physician
  • Rochester, MI
National Provider Identifier
1952516569
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301068458 Issued in MI
Legal business name
DERMATOLOGY CENTER OF ROCHESTER HILLS, P.C.
Practice address
919 W University Dr Ste 100
Rochester, MI 48307-6905
Phone
(248) 651-9500
Fax
(248) 651-3366
NPI assigned
May 14, 2007
Last updated
Aug 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Authorized official

Name
Dr. Joseph A Stutz, M.D.NPI 1447259056
Title
President
Phone
(248) 651-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301068458 MI Primary

Addresses

Primary practice location

919 W University Dr Ste 100
Rochester, MI 48307-6905

Mailing address

919 W University Dr Ste 100
Rochester, MI 48307-6905
Phone (248) 651-9500

Other identifiers 1

IdentifierTypeStateIssuer
4114411MedicaidMI

Other names 1

  • JOSEPH A. STUTZ, M.D. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040422000763 MI Part B Supplier - Clinic/Group Practice 2567458896 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0962984Dermatology Center of Rochester Hills919 W University Drive Suite 100, Rochester Hills, MI 48307ComplianceJun 8, 2028

National Provider Directory

National Provider Directory

Locations

919 W University Dr
Ste 100
Rochester, MI 48307
Phone (248) 651-9500

455 S Livernois Rd
Ste A12
Rochester Hills, MI 48307
Phone (248) 651-9500

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1952516569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 W UNIVERSITY DR STE 100",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483076905",
            "telephone_number": "248-651-9500",
            "fax_number": "248-651-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W UNIVERSITY DR STE 100",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483076905",
            "telephone_number": "248-651-9500",
            "fax_number": "248-651-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CENTER OF ROCHESTER HILLS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "STUTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-651-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301068458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4114411",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOSEPH A. STUTZ, M.D.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "JOSEPH A. STUTZ, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.