Lori Fedoronko M D P C
NPI 1265633416 · Procedural Dermatology Physician · Troy, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lori Fedoronko M D P C is a Procedural Dermatology Physician organization in Troy, MI (NPI 1265633416).
Provider details
- NPI number
- 1265633416
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lori Fedoronko, President(248) 362-0222
- License
- LF064064 (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
- 2016-07-01
Frequently asked questions
- What is Lori Fedoronko M D P C's NPI number?
- Lori Fedoronko M D P C's National Provider Identifier (NPI) is 1265633416, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lori Fedoronko M D P C?
- Lori Fedoronko M D P C is classified in the NPPES registry as Procedural Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Lori Fedoronko M D P C located?
- Lori Fedoronko M D P C's practice location on file with NPPES is 1350 Kirts Blvd, Troy, MI 48084-4851.
- What is Lori Fedoronko M D P C's phone number?
- The practice phone number listed in the NPPES registry for Lori Fedoronko M D P C is (248) 362-0222.
- Does Lori Fedoronko M D P C accept Medicare?
- Lori Fedoronko M D 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 Lori Fedoronko M D P C?
- The authorized official listed on Lori Fedoronko M D P C's NPPES record is Lori Fedoronko, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lori Fedoronko M D P C's NPI active?
- Yes — Lori Fedoronko M D P C's NPI (1265633416) is active in the NPPES registry as of the last update on 2016-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.