MYRON KOPIN (MD) – Dermatology Physician, NPI 1245203553

MYRON KOPIN (MD) is a healthcare provider. based in Rochester, Michigan. specializing in Dermatology Physician. They hold the professional credentials MD. They hold a License No. MK036050 (MI). The NPI Number for MYRON KOPIN (MD) is 1245203553

Main info

Male
Sole Proprietor
Name
MYRON KOPIN (MD)
NPI
1245203553
Phone
(248) 656-1222
Address
1135 W UNIVERSITY DR
Enumeration Date
8 February 2006
Last Update Date
4 October 2011
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

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Provider Addresses for MYRON KOPIN (MD)

  • 1135, West University Drive, Rochester Hills, Oakland County, Michigan, 48307, United States

    SUITE 415

    ROCHESTER, MI 483071871

    Phone: (248) 656-1222

    Fax: (248) 650-4575

    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: 2010-12-23

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
I20101223000120IDermatologyMITBD

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 48307)

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Reviews

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Frequently asked questions

Can I verify MYRON KOPIN (MD) with an NPI only?
You can start verification with NPI 1245203553 for MYRON KOPIN (MD), then check state licensing separately.
Does the file indicate MYRON KOPIN (MD) is practicing under active NPI?
Directory data currently reports MYRON KOPIN (MD) as active.
What is MYRON KOPIN (MD)'s specialty?
The listing groups MYRON KOPIN (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What area does MYRON KOPIN (MD) serve?
MYRON KOPIN (MD)'s listing highlights Rochester, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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