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STUART R GILDENBERG MD NPI 1194720276


NPI Information

NPI: 1194720276
Provider Name: STUART R GILDENBERG, MD
Classification: Dermatology - 207N00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
11900 E 12 MILE RD
STE 201
WARREN, MI
ZIP 48093
Phone: (586) 574-2800
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Stuart R Gildenberg, MD is a dermatology in Warren, MI with 38 years of experience. The provider is 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. Stuart R Gildenberg, MD NPI is 1194720276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

11900 E 12 MILE RD
STE 201
WARREN, MI
ZIP 48093-490
Phone: (586) 574-2800
Fax: (586) 574-2803

The NPI 1194720276 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Destruction of skin growth (HCPCS:17000)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

The enumeration date for this NPI number is 6/16/2005 and was last updated on 7/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology4301407085MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14358234OTHERMICHIGANAETNA
2F00397OTHERMICHIGANHAP HMO
3SG407085OTHERMICHIGANBLUE CARE NETWORK ADVANTA
40N96970006OTHERMICHIGANBCBSM MEDICARE PLUS BLUE
5100784OTHERMICHIGANMOLINA
6100962OTHERMICHIGANGREAT LAKES HEALTH PLAN
7070E015730OTHERMICHIGANBCN ADVANTAGE
81222960001OTHERMICHIGANMIDWEST HEALTH PLAN
9110028OTHERMICHIGANPREFERRED PLUS
1029183OTHERMICHIGANCOMMUNITY CHOICE OF MICHI
114358234OTHERMICHIGANAETNA HMO
12C3726OTHERMCARE
13P00180380OTHERMICHIGANTRAVELERS MEDICARE
14110028OTHERMICHIGANCARER CHOICES
151222960001OTHERMICHIGANTOTAL HEALTH CARE
16200330360OTHERMICHIGANHEALTH PLUS OF MICHIGAN
17070E15730OTHERMICHIGANBCBSM
184640517MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.