DermatologistIndex

El Tal MD PC

Dermatology and skin surgery practice in Grand Rapids, MI

Registered providerLicense # listed (MI)

Call (616) 248-8864Send a messageMap ↗

Public-record details

Address
555 Midtowne St Ne Ste 301, Grand Rapids, MI 49503
Phone
(616) 248-8864
Listed under
Practices and organizations, Mohs and procedural dermatology
NPI
1003290750
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Dermatology, MOHS-Micrographic Surgery (207ND0101X)
License number on NPI record
4301089516 (MI)
Authorized official
Abdel El Tal, MD, President
NPI first issued
Jul 13, 2015
Years since NPI first issued
11 years (since 2015)
License state on NPI record
MI
NPI record last updated
Jul 13, 2015

NPI 1003290750 is active in the federal NPPES registry (CMS) with Dermatology, MOHS-Micrographic Surgery as its self-reported primary taxonomy; license 4301089516 (MI) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Dermatologist Index does not vet, employ, recommend or guarantee dermatology practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Dermatologist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. A registered specialty is not board certification. To check board certification, use the American Board of Dermatology's verification tool (or the American Osteopathic Board of Dermatology for DOs), and confirm the medical license with the state board.

View NPI 1003290750 in the official registry ↗

Registered specialty is not board certification. Verify the license with the state medical board and board certification with the American Board of Dermatology or the American Osteopathic Board of Dermatology. Ask whether the practice takes your insurance or Medicare plan before you book.

Other dermatology listings in Grand Rapids

All 32 in Grand Rapids →