Active NPI 1194720276 Individual Practitioner Male Practitioner

Dr. Stuart R Gildenberg , MD

Dermatology • Warren, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stuart Gildenberg, MD is a certified Dermatology practicing in Warren, MI. With approximately 40 years of clinical experience since graduating from Wayne State University School Of Medicine in 1986, Dr. Gildenberg delivers high-quality medical care to the local community at 11900 E 12 MILE RD.

Dr. Gildenberg is affiliated with Midwest Center For Dermatology And Pathology Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, pathology examination of tissue using a microscope, intermediate complexity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11900 E 12 Mile Rd
Ste 201

Warren, MI 480933490

Telephone 5865742800

Fax 5865742803

Associated Practice Facility / Clinic

🏢 South Macomb Internists, P.c. Facility NPI 1366436511

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Warren, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +8.4 yrs vs City Avg

City Avg: 31.6 Yrs

State Avg: 22.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Warren, MI (493 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gildenberg (40 Years) 40 Yrs

Warren Specialty Average (31.6 Years) 31.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	815	138	$11.57	$6.44
99213 Established patient office or other outpatient visit, typically 15 minutes	700	454	$165.30	$90.30
88305 Pathology examination of tissue using a microscope, intermediate complexity	489	343	$155.00	$69.93
17000 Destruction of skin growth	303	206	$119.53	$50.85
11102 Tangential biopsy of single skin lesion	282	222	$187.71	$87.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	104	$234.61	$128.03
17110 Destruction of up to 14 skin growths	127	101	$205.15	$104.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	120	96	$101.27	$56.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	74	38	$5.00	$0.82
11103 Biopsy of related skin growth, each additional growth	71	55	$95.95	$49.87
11900 Injection into skin growth, 1-7 growths	46	32	$102.46	$41.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$204.49	$112.85
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	34	27	$324.43	$165.31
10060 Simple or single drainage of skin abscess	24	21	$225.58	$119.35
10040 Acne surgery	23	22	$211.80	$110.68
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	17	15	$186.48	$81.85
69100 Biopsy of ear	13	12	$180.74	$62.20
88304 Pathology examination of tissue using a microscope, moderately low complexity	12	12	$95.00	$42.32
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	11	11	$270.01	$134.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	787	135	$11.57	$6.61
99213 Established patient office or other outpatient visit, typically 15 minutes	714	453	$165.39	$91.06
88305 Pathology examination of tissue using a microscope, intermediate complexity	549	357	$155.00	$70.80
17000 Destruction of skin growth	302	201	$119.53	$54.60
11102 Tangential biopsy of single skin lesion	272	231	$187.71	$92.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	89	$234.61	$129.27
17110 Destruction of up to 14 skin growths	129	107	$205.15	$107.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	107	36	$5.00	$0.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	92	$101.27	$57.06
11103 Biopsy of related skin growth, each additional growth	94	71	$95.95	$50.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$204.49	$113.68
11900 Injection into skin growth, 1-7 growths	50	31	$102.46	$46.54
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	28	23	$324.43	$172.27
10040 Acne surgery	21	18	$211.80	$106.96
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	20	19	$186.48	$69.39
88304 Pathology examination of tissue using a microscope, moderately low complexity	16	15	$95.00	$42.52
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	16	14	$226.42	$116.27
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$132.67	$69.92
10060 Simple or single drainage of skin abscess	15	13	$225.58	$127.55
Q0112 All potassium hydroxide (koh) preparations	13	11	$25.00	$5.71
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	13	12	$216.06	$109.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	924	136	$11.59	$6.83
99213 Established patient office or other outpatient visit, typically 15 minutes	647	424	$164.95	$92.23
88305 Pathology examination of tissue using a microscope, intermediate complexity	463	326	$155.00	$71.01
17000 Destruction of skin growth	300	203	$119.79	$55.31
11102 Tangential biopsy of single skin lesion	242	207	$187.57	$94.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	70	$233.22	$123.28
17110 Destruction of up to 14 skin growths	110	88	$204.74	$104.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	93	$101.12	$58.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	77	35	$5.39	$1.08
11103 Biopsy of related skin growth, each additional growth	66	58	$95.95	$52.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$204.32	$116.16
11900 Injection into skin growth, 1-7 growths	54	32	$102.52	$49.83
10040 Acne surgery	29	26	$211.80	$117.54
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	26	25	$324.43	$181.40
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	19	17	$226.42	$103.71
88304 Pathology examination of tissue using a microscope, moderately low complexity	18	18	$95.00	$42.04
10060 Simple or single drainage of skin abscess	18	17	$224.94	$125.47
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	15	13	$186.48	$80.19
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	15	14	$196.04	$78.05
Q0112 All potassium hydroxide (koh) preparations	14	13	$25.00	$5.73
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$132.67	$75.41
69100 Biopsy of ear	11	11	$180.74	$82.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	935	142	$11.95	$6.67
99213 Established patient office or other outpatient visit, typically 15 minutes	899	516	$164.95	$94.25
88305 Pathology examination of tissue using a microscope, intermediate complexity	523	351	$155.00	$72.55
11102 Tangential biopsy of single skin lesion	351	296	$187.67	$97.35
17000 Destruction of skin growth	309	196	$119.94	$54.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	197	161	$101.10	$58.51
17110 Destruction of up to 14 skin growths	154	105	$205.01	$110.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	74	$234.37	$133.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	113	59	$6.08	$1.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$204.39	$114.78
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	99	12	$213.37	$123.92
11103 Biopsy of related skin growth, each additional growth	95	75	$96.07	$55.03
11900 Injection into skin growth, 1-7 growths	81	51	$102.48	$51.65
10060 Simple or single drainage of skin abscess	34	26	$225.69	$124.70
10040 Acne surgery	33	28	$211.82	$113.46
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	32	31	$324.43	$185.06
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$132.96	$76.72
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	24	22	$186.65	$72.06
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	21	15	$216.06	$95.37
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	19	17	$226.42	$117.42
11104 Punch biopsy, first skin growth	18	18	$236.30	$133.06
Q0112 All potassium hydroxide (koh) preparations	17	15	$25.00	$5.83
88304 Pathology examination of tissue using a microscope, moderately low complexity	15	15	$95.00	$43.16
69100 Biopsy of ear	15	14	$180.74	$87.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	850	496	$127.08	$78.00
17003 Destruction of precancer skin growth, 2-14 growths	802	118	$13.85	$6.16
88305 Pathology examination of tissue using a microscope, intermediate complexity	468	304	$155.00	$71.94
11102 Tangential biopsy of single skin lesion	328	261	$173.13	$92.55
17000 Destruction of skin growth	286	173	$118.07	$53.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	179	$191.53	$111.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	118	102	$73.60	$47.12
17110 Destruction of up to 14 skin growths	112	89	$190.15	$107.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	39	$19.83	$1.39
11103 Biopsy of related skin growth, each additional growth	89	75	$91.49	$54.87
99202 New patient office or other outpatient visit, typically 20 minutes	75	75	$127.97	$79.16
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	61	13	$191.47	$119.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$180.34	$111.46
11900 Injection into skin growth, 1-7 growths	51	32	$96.59	$49.87
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	34	29	$307.49	$174.48
11901 Injection into skin growth, more than 7 growths	33	12	$125.57	$66.00
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	28	24	$207.87	$118.13
10060 Simple or single drainage of skin abscess	25	20	$201.31	$127.63
88304 Pathology examination of tissue using a microscope, moderately low complexity	23	22	$95.00	$42.42
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	21	21	$171.13	$68.97
69100 Biopsy of ear	16	15	$180.92	$80.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	13	$40.00	$14.72
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	14	14	$200.66	$108.50
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	14	13	$242.98	$127.89
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	13	11	$229.58	$135.58
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$340.83	$197.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,475	748	$105.19	$75.84
17003 Destruction of precancer skin growth, 2-14 growths	1,031	155	$25.14	$5.96
88305 Pathology examination of tissue using a microscope, intermediate complexity	756	411	$155.00	$69.87
11102 Tangential biopsy of single skin lesion	531	414	$145.53	$92.85
17000 Destruction of skin growth	406	242	$115.41	$53.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	237	215	$141.73	$111.36
11103 Biopsy of related skin growth, each additional growth	172	119	$69.97	$54.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	157	68	$19.96	$1.57
17110 Destruction of up to 14 skin growths	142	97	$155.81	$106.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	111	$66.21	$46.27
99202 New patient office or other outpatient visit, typically 20 minutes	115	115	$105.80	$77.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$150.64	$108.97
11900 Injection into skin growth, 1-7 growths	98	57	$85.11	$50.14
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	93	12	$145.00	$115.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	57	24	$40.00	$17.05
10060 Simple or single drainage of skin abscess	50	36	$165.00	$121.28
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	44	31	$170.00	$91.40
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	44	34	$255.00	$167.99
11901 Injection into skin growth, more than 7 growths	40	20	$105.00	$66.63
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	39	34	$140.00	$64.66
88304 Pathology examination of tissue using a microscope, moderately low complexity	37	33	$95.00	$41.18
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	32	19	$20.00	$6.78
Q0112 All potassium hydroxide (koh) preparations	32	30	$25.00	$5.71
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	29	25	$200.00	$127.52
87101 Fungal culture (mold or yeast) of skin, hair, or nail	27	26	$30.00	$8.39
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	21	18	$205.00	$131.41
11104 Punch biopsy, first skin growth	19	18	$159.47	$123.23
69100 Biopsy of ear	19	19	$185.00	$97.05
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	14	$335.00	$169.66
10040 Acne surgery	17	14	$150.00	$106.99
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	14	$170.00	$121.78
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	12	11	$250.00	$180.61
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	11	$155.00	$135.74
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	12	11	$140.00	$78.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,548	755	$105.09	$74.14
17003 Destruction of precancer skin growth, 2-14 growths	1,164	164	$25.04	$5.53
88305 Pathology examination of tissue using a microscope, intermediate complexity	830	428	$155.00	$68.72
11100 Biopsy of single growth of skin and/or tissue	587	444	$145.43	$99.76
17000 Destruction of skin growth	425	249	$115.15	$53.25
11101 Biopsy of each additional growth of skin and/or tissue	249	149	$60.43	$34.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	249	99	$19.84	$1.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	165	$140.72	$109.78
11900 Injection into skin growth, 1-7 growths	163	84	$85.13	$51.65
17110 Destruction of up to 14 skin growths	154	114	$155.74	$108.35
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	145	21	$144.83	$112.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$150.00	$111.34
99202 New patient office or other outpatient visit, typically 20 minutes	111	111	$106.26	$76.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	68	$66.23	$44.66
96920 Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease	69	11	$295.00	$165.55
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	65	46	$255.00	$159.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	20	$40.00	$20.66
11901 Injection into skin growth, more than 7 growths	62	23	$105.26	$71.77
87101 Fungal culture (mold or yeast) of skin, hair, or nail	39	36	$30.00	$9.32
Q0112 All potassium hydroxide (koh) preparations	38	33	$24.58	$5.71
10060 Simple or single drainage of skin abscess	36	21	$165.00	$120.58
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	32	28	$140.00	$67.17
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	25	22	$170.00	$103.45
88304 Pathology examination of tissue using a microscope, moderately low complexity	24	23	$95.00	$40.20
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	23	18	$200.00	$132.69
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	22	20	$205.00	$121.97
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	22	19	$165.00	$103.65
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	21	15	$20.95	$7.14
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	20	15	$250.00	$161.99
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	19	17	$140.00	$69.06
10040 Acne surgery	19	16	$150.00	$95.45
69100 Biopsy of ear	18	17	$185.00	$80.67
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$145.00	$106.22
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	15	$370.00	$211.92
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	12	$335.00	$186.11
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	12	$155.00	$110.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,498	725	$105.05	$73.71
17003 Destruction of precancer skin growth, 2-14 growths	1,335	178	$25.09	$5.80
88305 Pathology examination of tissue using a microscope, intermediate complexity	823	438	$155.00	$68.16
11100 Biopsy of single growth of skin and/or tissue	591	445	$145.50	$98.52
17000 Destruction of skin growth	459	250	$115.16	$54.92
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	254	25	$144.61	$70.63
11101 Biopsy of each additional growth of skin and/or tissue	210	152	$60.46	$33.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	170	$140.22	$108.04
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	202	68	$55.54	$1.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	166	166	$150.37	$109.80
17110 Destruction of up to 14 skin growths	157	110	$155.73	$109.06
99202 New patient office or other outpatient visit, typically 20 minutes	114	114	$97.50	$75.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	93	$65.88	$43.75
11900 Injection into skin growth, 1-7 growths	102	56	$85.09	$49.29
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	64	47	$255.00	$159.69
11901 Injection into skin growth, more than 7 growths	58	20	$105.28	$68.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	57	27	$40.00	$25.47
10060 Simple or single drainage of skin abscess	51	35	$165.55	$118.29
87101 Fungal culture (mold or yeast) of skin, hair, or nail	47	46	$30.00	$6.51
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	35	24	$20.00	$6.87
88304 Pathology examination of tissue using a microscope, moderately low complexity	31	30	$95.00	$39.95
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$147.61	$104.61
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	22	18	$140.00	$67.52
Q0112 All potassium hydroxide (koh) preparations	20	17	$25.00	$5.74
10040 Acne surgery	19	17	$150.00	$88.22
69100 Biopsy of ear	18	17	$185.00	$74.03
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	18	15	$140.00	$55.53
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	18	13	$170.00	$108.89
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	14	$333.80	$177.75
87220 Tissue fungi or parasites	14	14	$25.00	$5.74
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	12	11	$165.00	$106.43

Medical Specialties & State Licenses

CMS Verified: 2021-07-28

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MI 4301407085

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4640517 (MI)

Commercial Insurance / Payer ID Total Health Care

1222960001 (MI)

Commercial Insurance / Payer ID Travelers Medicare

P00180380 (MI)

Commercial Insurance / Payer ID Bcbsm

070E15730 (MI)

Commercial Insurance / Payer ID Blue Care Network Advanta

SG407085 (MI)

Commercial Insurance / Payer ID Midwest Health Plan

1222960001 (MI)

Commercial Insurance / Payer ID Community Choice Of Michi

29183 (MI)

Commercial Insurance / Payer ID Mcare

C3726

Commercial Insurance / Payer ID Bcn Advantage

070E015730 (MI)

Commercial Insurance / Payer ID Carer Choices

110028 (MI)

Hospital & Practice Group Affiliations

Midwest Center For Dermatology And Pathology Pllc

11900 E 12 Mile Rd, Warren, MI 480933490

Phone: 5865742800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. David Altman , MD

Dermatology

NPI 1205831005

Doctor of Medicine (M.D.)

Alyssa Raad

Student in an Organized Health Care Education/Training Program

NPI 1245151331

Dr. Caroline Sulich-Moore , DNP, FNP-C

Nurse Practitioner - Family

NPI 1467238246

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Mika Sachs , PA-C

Physician Assistant

NPI 1790151264

Physician Assistant (Certified)

Dr. Jules Altman , MD

Dermatology

NPI 1821093998

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 14, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 14, 2007

Registered at 11900 E 12 MILE RD, STE 201, WARREN, MI 480933490 (Tel: 5865742800)

📍

Updated Business Mailing Address July 14, 2007

Registered at 11900 E 12 MILE RD, STE 201, WARREN, MI 480933490 (Tel: 5865742800)

👤

Provider Name / Credentials Updated July 14, 2007

Recorded as STUART GILDENBERG, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2007

Dermatology (License #4301407085 in MI)

🟢

Initial NPI Registration & Enumeration June 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1194720276

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 16, 2005

Last Update: July 28, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11900 E 12 Mile Rd, Ste 201

Warren, MI 480933490

Phone: 5865742800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.