1. Home
  2. Directory
  3. Indiana
  4. Greenwood
  5. Dermatology
  6. NPI Profile

DERMATOLOGY INC
NPI 1053421610
Dermatology in Greenwood, IN

Active since August 30, 2006CLIA 15D0353217 · Certificate of Compliance
875 AIRPORT PKWY, GREENWOOD, IN 46143(317) 926-3739(317) 921-7478 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 22, 2022, Apr 19, 2022, Apr 11, 2022 and 5 more (8 updates tracked since 2017).

About Dermatology Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY INC (NPI 1053421610) is a healthcare organization registered as a dermatology in Greenwood, Indiana and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 17, 2026, maintains 3 additional practice locations, and lists Khristi Autajay, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1053421610
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY INC
Location Address875 AIRPORT PKWYGreenwood, IN 46143-1085
Mailing Address875 Airport PkwyGreenwood, IN 46143-1085 · (317) 926-3739 · Fax (317) 921-7478
Phone(317) 926-3739
Fax(317) 921-7478
Organization SubpartNo
Authorized OfficialKhristi AutajayPractice Administrator · (317) 926-3739
Enumeration DateAugust 30, 2006
Last NPPES UpdateSeptember 22, 20228 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
✔ NPI 1053421610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
875 AIRPORT PKWY, Greenwood, IN 46143
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11542 S Bloomington St Fl 3Greencastle, IN 46135-2212 · Phone (317) 926-3739
Location 213250 Hazel Dell Pkwy Ste 102Carmel, IN 46033 · Phone (317) 926-3739
Location 3725 Lakefront CtCarmel, IN 46032-5893 · Phone (317) 926-3739

Other Identifiers 1

Medicaid100056130 AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 15D0353217

Dermatology, Inc · Carmel, IN
Active · expires Dec 17, 2026
CLIA Number15D0353217
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorRyan K. Brashear
Laboratory Phone(317) 926-3739
Laboratory LocationDermatology, Inc725 Lakefront Ct, Carmel, IN 46032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA CATHERINE BELL
Dermatology
875 AIRPORT PKWY
GREENWOOD, IN 46143
Johnson County (317) 926-3739
STEPHANIE BURNS PA-C
Physician Assistant
875 AIRPORT PKWY
GREENWOOD, IN 46143
Johnson County (317) 926-3739
JANELLE M. TABET P.A.
Physician Assistant (Medical)
875 AIRPORT PKWY
GREENWOOD, IN 46143
Johnson County (317) 926-3739
HONGLIN XIAO
Dermatology
875 AIRPORT PKWY
GREENWOOD, IN 46143
Johnson County (317) 926-3739
BRIAN J WILLIAMS M.D.
Dermatology (MOHS-Micrographic Surgery)
875 AIRPORT PKWY
GREENWOOD, IN 46143
Johnson County (317) 926-3739
RYAN K BRASHEAR M.D.
Dermatology
875 AIRPORT PKWY
GREENWOOD, IN 46143
Johnson County (317) 926-3739
MRS. CASSANDRA MARIE SEXSON PA
Physician Assistant
875 AIRPORT PKWY
GREENWOOD, IN 46143
Johnson County (317) 926-3739

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology Inc's NPI number?

The NPI number for Dermatology Inc is 1053421610. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Dermatology Inc located?

Dermatology Inc is located at 875 Airport Pkwy, Greenwood, IN 46143. The listed phone number is (317) 926-3739.

What is Dermatology Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Dermatology Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 15D0353217) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Dermatology Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatology Inc was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.