NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Advanced Dermatology Pllc

Dermatology Physician in Saint Joseph, MI · enumerated 2006 · authorized official Mark Kutriata, Owner/Provider.

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

National Provider Identifier

1538192018

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Advanced Dermatology Pllc
Practice address 300 E Maiden Ln, Saint Joseph, MI, 49085
Phone (269) 429-7546
Fax (269) 429-0807
Enumeration date Jul 8, 2006
Last updated in NPPES Mar 25, 2010

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 5101012454 (MI) Primary

Authorized official

Name Mark Kutriata
Title Owner/Provider
Phone (269) 429-7546

Other identifiers

Identifier Type State Issuer
0751100205 Other - BLUE CROSS
CG9582 Other MI PALMETTO GBA GROUP
350460011 Medicaid MI -
0A10115 Other MI BCBSM GROUP

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Advanced Dermatology Pllc?
The NPI for Advanced Dermatology Pllc is 1538192018, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Advanced Dermatology Pllc?
NPPES lists Mark Kutriata (Owner/Provider) as the authorized official for this organization.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-03-25.