MARIA L ESPINOSA – Dermatology Physician, NPI 1114506573

MARIA L ESPINOSA is a healthcare provider. based in Detroit, Michigan. specializing in DERMATOLOGY. They hold a License No. 036175016 (IL). The NPI Number for MARIA L ESPINOSA is 1114506573

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MARIA L ESPINOSA
NPI
1114506573
Phone
(313) 916-2171
Address
2799 W GRAND BLVD
Enumeration Date
5 April 2021
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
6305968045
Graduation Year
2021 (5 years ago)
PAC ID
8820494990
Group Practice PAC ID
2769733310
Professional Enrollment ID
I20250714003033
Address ID
IL605409311NA1331XSTXX407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

532 DERMATOLOGY in MI

Provider Addresses for MARIA L ESPINOSA

  • 2799 W GRAND BLVD

    DETROIT, MI 482022689

    Phone: (313) 916-2171

    Fax: (313) 916-2093

    Type: Mailing

  • 1331 W 75TH ST STE 402

    NAPERVILLE, IL 605409311

    Phone: (630) 596-8045

    Fax: (630) 590-9634

    Type: Mailing

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: 2025-07-14

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
I20250714003033IDermatologyILTBD

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 48202)

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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: 2769733310View full group profile
NameSpecialtyState
Micrographic Dermatologic Surgery (Mds), DermatologyIL
D E R M A T O L O G YIL
Physician AssistantIL
Physician AssistantIL
Plastic And Reconstructive Surgery, Hand SurgeryIL
Physician AssistantIL

Reviews

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Frequently asked questions

What federal number belongs to MARIA L ESPINOSA?
The federal identifier for MARIA L ESPINOSA is NPI 1114506573.
Is MARIA L ESPINOSA's NPI currently valid?
The extract we use shows MARIA L ESPINOSA as active.
What field does MARIA L ESPINOSA work in?
You can think of MARIA L ESPINOSA as practicing within Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARIA L ESPINOSA?
The page summarizes Detroit, Michigan for MARIA L ESPINOSA; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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