Summit Dermatology PLLC
NPI 1780577999ActiveOrganization· Dermatology· Livonia, MI
Dermatology in Livonia, Michigan, registered in NPPES in May 2025. The authorized official on file is Sultan Qiblawi, MD, MBA, Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780577999 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 29, 2025 |
| Last updated in NPPES | Oct 31, 2025 |
| Certified by provider | Oct 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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