Dermatology at Midtowne, PC
NPI 1780933432ActiveOrganization· Dermatology· Grand Rapids, MI
Dermatology in Grand Rapids, Michigan, registered in NPPES in September 2012. The authorized official on file is Dipa Suman Patel, MD, Physician/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780933432 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 9, 2012 |
| Last updated in NPPES | Mar 18, 2024 |
| Certified by provider | Mar 18, 2024 |
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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