Heidelberg Dermatology, P.C.
NPI 1124045075 · Dermatology Physician · Detroit, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heidelberg Dermatology, P.C. is a Dermatology Physician organization in Detroit, MI (NPI 1124045075).
Provider details
- NPI number
- 1124045075
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Karen Heidelberg, President(313) 864-3766
- License
- 4301066952 (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
20 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
- 2006-07-16
- Last updated
- 2015-12-02
Frequently asked questions
- What is Heidelberg Dermatology, P.C.'s NPI number?
- Heidelberg Dermatology, P.C.'s National Provider Identifier (NPI) is 1124045075, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heidelberg Dermatology, P.C.?
- Heidelberg Dermatology, P.C. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Heidelberg Dermatology, P.C. located?
- Heidelberg Dermatology, P.C.'s practice location on file with NPPES is 20400 Livernois Ave, Detroit, MI 48221-1348.
- What is Heidelberg Dermatology, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Heidelberg Dermatology, P.C. is (313) 341-4514.
- Does Heidelberg Dermatology, P.C. accept Medicare?
- Heidelberg Dermatology, P.C. 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 Heidelberg Dermatology, P.C.?
- The authorized official listed on Heidelberg Dermatology, P.C.'s NPPES record is Karen Heidelberg, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heidelberg Dermatology, P.C.'s NPI active?
- Yes — Heidelberg Dermatology, P.C.'s NPI (1124045075) is active in the NPPES registry as of the last update on 2015-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.