Dermatology Specialists of Grand Rapids, PLLC
NPI 1821972548 · MOHS-Micrographic Surgery Physician · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology Specialists of Grand Rapids, PLLC is a MOHS-Micrographic Surgery Physician organization in Grand Rapids, MI (NPI 1821972548).
Provider details
- NPI number
- 1821972548
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Iltefat Hamzavi, M.D.(810) 650-0995
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
Under 1 yr in 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
- 2025-08-05
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Frequently asked questions
- What is Dermatology Specialists of Grand Rapids, PLLC's NPI number?
- Dermatology Specialists of Grand Rapids, PLLC's National Provider Identifier (NPI) is 1821972548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology Specialists of Grand Rapids, PLLC?
- Dermatology Specialists of Grand Rapids, PLLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology Specialists of Grand Rapids, PLLC located?
- Dermatology Specialists of Grand Rapids, PLLC's practice location on file with NPPES is 1000 East Paris Ave Se Ste 104, Grand Rapids, MI 49546-3680.
- What is Dermatology Specialists of Grand Rapids, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dermatology Specialists of Grand Rapids, PLLC is (586) 876-2345.
- Does Dermatology Specialists of Grand Rapids, PLLC accept Medicare?
- Dermatology Specialists of Grand Rapids, 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 Dermatology Specialists of Grand Rapids, PLLC?
- The authorized official listed on Dermatology Specialists of Grand Rapids, PLLC's NPPES record is Iltefat Hamzavi, M.D.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology Specialists of Grand Rapids, PLLC's NPI active?
- Yes — Dermatology Specialists of Grand Rapids, PLLC's NPI (1821972548) is active in the NPPES registry as of the last update on 2025-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.