Individual provider

Johann Gudjonsson, MD

Dermatology Physician Student in an Organized Health Care Education/Training Program Medicare enrolled

Johann Gudjonsson, MD is a Dermatology Physician in Ann Arbor, MI, registered under NPI 1710004866. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1500 E MEDICAL CENTER DR 1ST FLOOR TAUBMAN CTR RECP B, Ann Arbor, MI 48109. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1500 E MEDICAL CENTER DR 1ST FLOOR TAUBMAN CTR RECP B, Ann Arbor, MI 48109 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
4301082622 MI Dermatology Physician primary
4301082622 MI Student in an Organized Health Care…

This provider holds licence 4301082622 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Dermatology
PAC ID
7416031760
Enrollment ID
I20080225000621

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 Dermatology covers

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. NUCC Health Care Provider Taxonomy, code 207N00000X
Allopathic & Osteopathic Physicians Dermatology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207N00000X Dermatology Physician 4301082622 MI primary
390200000X Student in an Organized Health Care Education/Training Program 4301082622 MI

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.

NPI1710004866 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 23, 2007
Last updatedMar 19, 2012
StatusActive
Sole proprietorNo
CredentialMD
Practice address 1500 E MEDICAL CENTER DR
1ST FLOOR TAUBMAN CTR RECP B
Ann Arbor, MI 48109
(734) 936-4054
Mailing address 3621 S STATE ST 700 KMS PLACE
Ann Arbor, MI 48108
Other identifiers 5315015456 · Other (MI)
This record was last updated on Mar 19, 2012, roughly 14 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1710004866 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 7 1 0 0 0 4 8 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 2 0 0 0 8 8 3

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

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.

Common questions

What is NPI number 1710004866?
NPI 1710004866 is the National Provider Identifier assigned to Johann Gudjonsson, MD in Ann Arbor, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Dermatology Physician cover?
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…
How do I contact Johann Gudjonsson, MD?
The phone number on file with NPPES is (734) 936-4054, last updated Mar 19, 2012. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Johann Gudjonsson, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1710004866 a valid number?
Yes. 1710004866 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.