Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Northwestern Michigan Dermatology

MOHS-Micrographic Surgery Physician in Traverse City, MI · enumerated 2007 · authorized official Soumit Pendharkar, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1346457488

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Registry record

Entity type Organization (Type 2)

Legal business name Northwestern Michigan Dermatology

Practice address 550 Munson Ave, Suite 200, Traverse City, MI, 49686

Phone (231) 935-8717

Fax (231) 935-9230

Enumeration date May 17, 2007

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Soumit Pendharkar

Title Office Manager

Phone (231) 935-8717

Other identifiers

Identifier	Type	State	Issuer
1962511097	Other	MI	NPI
1285743393	Other	MI	NPI
4301063462	Other	MI	MI LICENSE
4301077553	Other	MI	MI LICENSE
1437268661	Other	MI	NPI
4301406284	Other	MI	MICHIGAN LICENSE
1770692873	Other	MI	NPI NUMBER
1997138	Medicaid	MI	-
3347473	Medicaid	MI	-
4301067697	Other	MI	MI LICENSE
4317989	Medicaid	MI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Northwestern Michigan Dermatology located?

The practice location on file with NPPES is in Traverse City, MI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.