LIVONIA DERMATOLOGY PLLC
NPI 1457406217
Dermatology in Livonia, MI
NPI Status: Active since January 24, 2007
Contact Information
14801 FARMINGTON RD
LIVONIA, MI
ZIP 48154
Phone: (734) 542-8100
Fax: (734) 542-8168
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 23D1015730
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-21-2025
About LIVONIA DERMATOLOGY PLLC
This page provides the complete NPI Profile along with additional information for Livonia Dermatology Pllc, a provider established in Livonia, Michigan operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1457406217 assigned on January 2007. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. David Pegouske M.d. (Owner)
- NPI
- 1457406217
- Provider Name
- LIVONIA DERMATOLOGY PLLC
- Entity Type
- Organization
- Location Address
- 14801 FARMINGTON RD LIVONIA, MI 48154
- Location Phone
- (734) 542-8100
- Location Fax
- (734) 542-8168
- Mailing Address
- 14801 FARMINGTON RD LIVONIA, MI 48154
- Mailing Phone
- (734) 542-8100
- Mailing Fax
- (734) 542-8168
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-24-2007
- Last Update Date
- 12-06-2011
- Code Navigator
A dermatologist like Livonia Dermatology Pllc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D1015730
- Facility Type
- Physician Office
- Certificate Effective Date
- December 22, 2023
- Certificate Expiration Date
- December 21, 2025
- Laboratory Director
- DAVID M. PEGOUSKE
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Livonia Dermatology Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 5 | 7 | 4 | 0 | 6 | 2 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 8 | 0 | 12 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 8 + 0 + 1 + 2 + 2 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1457406217 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982716114 | DR. MEENA MOOSSAVI M.D. Individual | Dermatology | 14801 FARMINGTON RD LIVONIA, MI 48154 (734) 542-8100 |
| 1932201183 | DR. DAVID PEGOUSKE M.D. Individual | Dermatology | 14801 FARMINGTON RD LIVONIA, MI 48154 (734) 542-8100 |
| 1013395961 | MARK GORALEWSKI MD Individual | Dermatology | 14801 FARMINGTON RD LIVONIA, MI 48154 (734) 542-8100 |
| 1326856774 | MICHIGAN REPRODUCTIVE SURGERY CENTER PC Organization | Obstetrics & Gynecology (Reproductive Endocrinology) | 14801 FARMINGTON RD LIVONIA, MI 48154 (313) 444-0064 |
| 1952119307 | MICHIGAN FERTILITY INSTITUTE PC Organization | Obstetrics & Gynecology (Reproductive Endocrinology) | 14801 FARMINGTON RD LIVONIA, MI 48154 (313) 444-0064 |
| 1952119315 | MICHIGAN REPRODUCTIVE LABS PC Organization | Obstetrics & Gynecology (Reproductive Endocrinology) | 14801 FARMINGTON RD LIVONIA, MI 48154 (313) 444-0064 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457406217, enumerated in the NPI registry as an "organization" on January 24, 2007
The provider is located at 14801 Farmington Rd Livonia, Mi 48154 and the phone number is (734) 542-8100
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D1015730 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 24, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.