David Fivenson, M.d.dermatology, PLLC
NPI 1205037454 · Clinical & Laboratory Dermatological Immunology Physician · Ann Arbor, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
David Fivenson, M.d.dermatology, PLLC is a Clinical & Laboratory Dermatological Immunology Physician organization in Ann Arbor, MI (NPI 1205037454).
Provider details
- NPI number
- 1205037454
- Entity type
- Organization
- Primary specialty
- Clinical & Laboratory Dermatological Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Fivenson, President(734) 222-9630
- License
- DF404817 (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
19 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
- 2007-05-29
- Last updated
- 2026-03-25
- Certified
- 2026-03-25
Frequently asked questions
- What is David Fivenson, M.d.dermatology, PLLC's NPI number?
- David Fivenson, M.d.dermatology, PLLC's National Provider Identifier (NPI) is 1205037454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is David Fivenson, M.d.dermatology, PLLC?
- David Fivenson, M.d.dermatology, PLLC is classified in the NPPES registry as Clinical & Laboratory Dermatological Immunology Physician (Allopathic & Osteopathic Physicians).
- Where is David Fivenson, M.d.dermatology, PLLC located?
- David Fivenson, M.d.dermatology, PLLC's practice location on file with NPPES is 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103-9746.
- What is David Fivenson, M.d.dermatology, PLLC's phone number?
- The practice phone number listed in the NPPES registry for David Fivenson, M.d.dermatology, PLLC is (734) 222-9630.
- Does David Fivenson, M.d.dermatology, PLLC accept Medicare?
- David Fivenson, M.d.dermatology, 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 David Fivenson, M.d.dermatology, PLLC?
- The authorized official listed on David Fivenson, M.d.dermatology, PLLC's NPPES record is David Fivenson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is David Fivenson, M.d.dermatology, PLLC's NPI active?
- Yes — David Fivenson, M.d.dermatology, PLLC's NPI (1205037454) is active in the NPPES registry as of the last update on 2026-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.