David Fivenson, MD
David Fivenson, MD is a Clinical & Laboratory Dermatological Immunology Physician in Ann Arbor, MI, registered under NPI 1235193525. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 3200 W LIBERTY RD STE C5, Ann Arbor, MI 48103. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 404817 | MI | Clinical & Laboratory Dermatological… primary |
This provider holds licence 404817 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Dermatology
- PAC ID
- 7012998479
- Enrollment ID
- I20040601000455
Medicare enrolment is recorded as approved under the provider type Practitioner - Dermatology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinical & Laboratory Dermatological Immunology covers
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. NUCC Health Care Provider Taxonomy, code 207NI0002X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1235193525 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 13, 2006 |
| Last updated | Mar 25, 2026 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | MD |
| Practice address |
3200 W LIBERTY RD STE C5 Ann Arbor, MI 48103 (734) 222-9630 Fax (734) 222-9631 |
| Other identifiers |
4425476
· Medicaid (MI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 3 | 5 | 1 | 9 | 3 | 5 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 6 | 5 | 2 | 9 | 6 | 5 | 4 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.