Summit Dermatology PLLC
NPI 1780577999 · Dermatology Physician · Livonia, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Summit Dermatology PLLC is a Dermatology Physician organization in Livonia, MI (NPI 1780577999).
Provider details
- NPI number
- 1780577999
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sultan Qiblawi, Member(586) 530-6365
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
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 14797 Dix Toledo RdSouthgate, MI 48195-2507Phone: (734) 887-6686Fax: (734) 201-1921
Registry dates
- Enumerated
- 2025-05-29
- Last updated
- 2025-10-31
- Certified
- 2025-10-31
Frequently asked questions
- What is Summit Dermatology PLLC's NPI number?
- Summit Dermatology PLLC's National Provider Identifier (NPI) is 1780577999, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summit Dermatology PLLC?
- Summit Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Summit Dermatology PLLC located?
- Summit Dermatology PLLC's practice location on file with NPPES is 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434.
- What is Summit Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Summit Dermatology PLLC is (734) 361-2191.
- Does Summit Dermatology PLLC accept Medicare?
- Summit 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 Summit Dermatology PLLC?
- The authorized official listed on Summit Dermatology PLLC's NPPES record is Sultan Qiblawi, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summit Dermatology PLLC's NPI active?
- Yes — Summit Dermatology PLLC's NPI (1780577999) is active in the NPPES registry as of the last update on 2025-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.