Sook Hwang
Individual provider Active NPI Dermatology Physician · West Bloomfield, MI
NPI 1962897181 · NPPES record last updated Jun 19, 2023
Key facts
- NPI
- 1962897181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 4301502319 (MI)
- Practice address
- 5839 W Maple Rd Ste 109
West Bloomfield, MI 48322-2278 - Phone
- (248) 855-7500
- NPI assigned
- Apr 3, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Wayne State University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Bloomfield Dermatology and Mohs Surgery, PLC
Practice addresses (Care Compare)
5839 W Maple Rd
109 New Location
West Bloomfield, MI 48322-2278
Phone 2488557500102
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.8 of 100
- Quality
- 92.36
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 17 |
| Removal of skin lesions | 633 |
| Removal or shaving of skin growth | 42 |
| Skin biopsy | 295 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200722002101 | MI | Practitioner - Dermatology | 5395047211 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Bloomfield Dermatology and Mohs Surgery, PLC | Dermatology | Current |
Accepting new patients |
| Alan Bolton, MD, PC | Current |
Accepting new patients | |
| Audrey Bruell, M.D. P.C. | Dermatology | Current | Accepting new patients |
| Robert M Soderstrom MD PC | Dermatology | Past | Accepting new patients |
Locations
28903 Woodward Ave
Berkley, MI 48072
Phone (248) 542-7141
37605 Pembroke Ave
Livonia, MI 48152
Phone (734) 591-7931
3601 W 13 Mile Rd
Royal Oak, MI 48073
5839 W Maple Rd
Ste 109
West Bloomfield, MI 48322
Phone (248) 855-7500
Interoperability endpoints
- shwang300306@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dermatology Physician | 207N00000X | 4301502319 | MI | Yes |
Addresses
Primary practice location
5839 W Maple Rd Ste 109
West Bloomfield, MI 48322-2278
Mailing address
21050 W 14 Mile Rd
Bloomfield Hills, MI 48301-4104
Phone (248) 842-4646
Other practice location 1
1101 W University Dr
3 North
Rochester, MI 48307-1863
Phone (248) 601-4900
Other practice location 2
2685 Jolly Rd
Okemos, MI 48864-3553
Phone (734) 594-7931
Other providers in West Bloomfield, MI
- Muhammad Jawad Hussain
- Syed A Hussain
- Mahmoud Hussein
- Audrey Hutton
- Lenny J Hutton
- Hygge Psychological Services PLLC
- Sharyn Hyman
- Ahmed Ibrahim
- Sarah Ibrahim
- Shalimar Ignacio
All providers in West Bloomfield, MI · Dermatology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.