Michigan Vascular Institute PLLC
NPI 1093915910 · Vascular Surgery Physician · Birmingham, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michigan Vascular Institute PLLC is a Vascular Surgery Physician organization in Birmingham, MI (NPI 1093915910).
Provider details
- NPI number
- 1093915910
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregory Derderian, Member(248) 594-3091
- License
- 5101007182 (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
18 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
- 2007-07-19
- Last updated
- 2023-02-23
- Certified
- 2023-02-23
Frequently asked questions
- What is Michigan Vascular Institute PLLC's NPI number?
- Michigan Vascular Institute PLLC's National Provider Identifier (NPI) is 1093915910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michigan Vascular Institute PLLC?
- Michigan Vascular Institute PLLC is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Michigan Vascular Institute PLLC located?
- Michigan Vascular Institute PLLC's practice location on file with NPPES is 538 N Old Woodward Ave, Birmingham, MI 48009-5375.
- What is Michigan Vascular Institute PLLC's phone number?
- The practice phone number listed in the NPPES registry for Michigan Vascular Institute PLLC is (248) 594-3091.
- Does Michigan Vascular Institute PLLC accept Medicare?
- Michigan Vascular Institute 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 Michigan Vascular Institute PLLC?
- The authorized official listed on Michigan Vascular Institute PLLC's NPPES record is Gregory Derderian, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michigan Vascular Institute PLLC's NPI active?
- Yes — Michigan Vascular Institute PLLC's NPI (1093915910) is active in the NPPES registry as of the last update on 2023-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.