Michigan Vascular Institute PLLC
NPI 1093915910ActiveOrganization· Surgery, Vascular Surgery· Birmingham, MI
Surgery, Vascular Surgery in Birmingham, Michigan, registered in NPPES in July 2007. The authorized official on file is Gregory P. Derderian, D.O., Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093915910 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 19, 2007 |
| Last updated in NPPES | Feb 23, 2023 |
| Certified by provider | Feb 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | 5101007182 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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