Dermatology Specialists of Canton, PLLC
NPI 1003069014 · Dermatology Physician · Canton, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology Specialists of Canton, PLLC is a Dermatology Physician organization in Canton, MI (NPI 1003069014).
Provider details
- NPI number
- 1003069014
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Iltefat Hamzavi, President(734) 495-1506
- License
- 4301067985 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-11-04
- Last updated
- 2011-03-15
Frequently asked questions
- What is Dermatology Specialists of Canton, PLLC's NPI number?
- Dermatology Specialists of Canton, PLLC's National Provider Identifier (NPI) is 1003069014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology Specialists of Canton, PLLC?
- Dermatology Specialists of Canton, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology Specialists of Canton, PLLC located?
- Dermatology Specialists of Canton, PLLC's practice location on file with NPPES is 285 N Lilley Rd, Canton, MI 48187-3907.
- What is Dermatology Specialists of Canton, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dermatology Specialists of Canton, PLLC is (734) 495-1506.
- Does Dermatology Specialists of Canton, PLLC accept Medicare?
- Dermatology Specialists of Canton, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dermatology Specialists of Canton, PLLC?
- The authorized official listed on Dermatology Specialists of Canton, PLLC's NPPES record is Iltefat Hamzavi, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology Specialists of Canton, PLLC's NPI active?
- Yes — Dermatology Specialists of Canton, PLLC's NPI (1003069014) is active in the NPPES registry as of the last update on 2011-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.