NICKY GAZY – Dermatology Physician, NPI 1104311075

NICKY GAZY is a healthcare provider. based in Trenton, Michigan. specializing in DERMATOLOGY. They hold a License No. 5101024255 (MI). The NPI Number for NICKY GAZY is 1104311075

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
NICKY GAZY
NPI
1104311075
Phone
(734) 671-3800
Address
5450 FORT ST
Enumeration Date
24 June 2018
Last Update Date
30 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4074987100
Graduation Year
2018 (8 years ago)
PAC ID
0648655746
Group Practice PAC ID
4688579311
Professional Enrollment ID
I20220909001332
Address ID
FL347696011SA3006XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:7State licenses:3Digital endpointsOther names

532 DERMATOLOGY in MI

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Provider Addresses for NICKY GAZY

  • Beaumont Hospital - Trenton, 5450, Fort Street, Trenton, Wayne County, Michigan, 49224, United States

    TRENTON, MI 481834601

    Phone: (734) 671-3800

    Type: Location

  • 5450 Fort St

    Trenton, MI 481834601

    Phone: (734) 671-3800

    Type: Location

  • 21097 NE 27TH CT STE 500

    AVENTURA, FL 331801235

    Phone: (305) 931-6661

    Type: Mailing

  • 3 SW 129TH AVE STE 100

    PEMBROKE PINES, FL 330271778

    Phone: (866) 400-3376

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 128 Open Payments records for all available years, with a total value of $2,890.

Total Amount is formed as General ($2,890) + Research ($0) + Ownership ($0) = $2,890.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($625).

Total Amount

$2,890

General + Research + Ownership

Payments

128

Total payment records

General Amount

$2,890

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220909001332IDermatologyFLTBD
I20221205001928IDermatologyMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths32341$0
17000Destruction of precancer skin growth, 1 growth6549$0
99213Established patient office or other outpatient visit, 20-29 minutes6452$0
17110Destruction of skin growth, 1-14 growths5743$0
17004Destruction of precancer skin growth, 15 or more growths5434$0
View full utilization report →

Insurance plans in this area (ZIP 48183)

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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: 4688579311View full group profile
NameSpecialtyState
-NV
-FL
Physician AssistantFL
Nurse PractitionerFL
-FL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
D E R M A T O L O G YFL
Physician AssistantFL
-FL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL

Reviews

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Frequently asked questions

What is the 10-digit NPI for NICKY GAZY?
NICKY GAZY — NPI 1104311075 — is the standard way to identify this listing.
Can I rely on NICKY GAZY being an active provider?
As of the registry snapshot, NICKY GAZY is marked active.
What is NICKY GAZY's primary classification?
Dermatology Physician is the headline specialty for NICKY GAZY here. Clinical services aligned with this taxonomy classification.
Does NICKY GAZY list a practice location?
Patients near Trenton, Michigan may find NICKY GAZY in results; validate coverage separately.
Why does NICKY GAZY have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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