DR. JOEL J HARRIS (DO) – Dermatology Physician, NPI 1053390591

DR. JOEL J HARRIS (DO) is a healthcare provider. based in Madison heights, Michigan. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. 5101006452 (MI). The NPI Number for DR. JOEL J HARRIS (DO) is 1053390591

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOEL J HARRIS (DO)
NPI
1053390591
Phone
(248) 541-1500
Address
27301 DEQUINDRE RD
Enumeration Date
12 January 2006
Last Update Date
24 February 2015

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
2489733660
Graduation Year
1972 (54 years ago)
PAC ID
4486622339
Group Practice PAC ID
1850516758
Professional Enrollment ID
I20071214000496
Address ID
MI48393XXXXWIXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

532 DERMATOLOGY in MI

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Provider Addresses for DR. JOEL J HARRIS (DO)

  • 27301, Dequindre Road, Madison Heights, Oakland County, Michigan, 48071, United States

    STE 209

    MADISON HEIGHTS, MI 48071

    Phone: (248) 541-1500

    Fax: (248) 541-2304

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071214000496IDermatologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48071)

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Provider's Procedures

DR. JOEL J HARRIS (DO) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMI11101Biopsy of each additional growth of skin and/or tissue2018

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850516758View full group profile
NameSpecialtyState
Psychiatry, Addiction MedicineMI
Internal MedicineMI
Clinical Social WorkerMI
-MI
Physician AssistantFL
Preventive Medicine, Internal MedicineMI

Reviews

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Frequently asked questions

Can I verify DR. JOEL J HARRIS (DO) with an NPI only?
You can start verification with NPI 1053390591 for DR. JOEL J HARRIS (DO), then check state licensing separately.
Can I rely on DR. JOEL J HARRIS (DO) being an active provider?
As of the registry snapshot, DR. JOEL J HARRIS (DO) is marked active.
What taxonomy line describes DR. JOEL J HARRIS (DO)?
For research purposes, treat DR. JOEL J HARRIS (DO) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. JOEL J HARRIS (DO) based?
DR. JOEL J HARRIS (DO) is tied to Madison Heights, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about DR. JOEL J HARRIS (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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