DERMATOLOGY CENTER OF NORTHWEST INDIANA, PC
NPI 1134585029
Dermatology in Crown Point, IN

Active since January 07, 2016
70 W 94TH PL, CROWN POINT, IN 46307(219) 662-8822(219) 662-8833 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dermatology Center Of Northwest Indiana, Pc NPPES

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

DERMATOLOGY CENTER OF NORTHWEST INDIANA, PC (NPI 1134585029) is a healthcare organization registered as a dermatology in Crown Point, Indiana and active in the NPI registry since January 2016. The organization lists Mitchell Leslie Bressack, Owner, as its authorized official.

NPPES Registry Identity

NPI1134585029
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY CENTER OF NORTHWEST INDIANA, PC
Location Address70 W 94TH PLCrown Point, IN 46307-1710
Mailing Address70 W 94th PlCrown Point, IN 46307-1710 · (219) 662-8822 · Fax (219) 662-8833
Fax(219) 662-8833
Organization SubpartNo
Authorized OfficialMitchell Leslie BressackOwner · (219) 662-8856
Enumeration DateJanuary 7, 2016
NPI 1134585029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in IN · 01031629A Licensed in IN · 02004576A
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.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 01043884A (IN)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 10000889A (IN)
70 W 94TH PL, Crown Point, IN 46307

Other Identifiers 6

Medicaid200039710AIN
Medicaid201294150IN
Medicare PIN234710A
Medicaid100214910AIN
Medicare PIN234710001IN
Medicare PIN234710B

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dermatology
70 W 94TH PL
CROWN POINT, IN 46307
Dermatology
70 W 94TH PL
CROWN POINT, IN 46307
Dermatology
70 W 94TH PL
CROWN POINT, IN 46307
Physician Assistant (Medical)
70 W 94TH PL
CROWN POINT, IN 46307

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 Center Of Northwest Indiana, PC's NPI number?

The NPI number for Dermatology Center Of Northwest Indiana, PC is 1134585029. It was assigned to this organization in the NPPES registry on January 7, 2016.

Where is Dermatology Center Of Northwest Indiana, PC located?

Dermatology Center Of Northwest Indiana, PC is located at 70 W 94th Pl, Crown Point, IN 46307. The listed phone number is (219) 662-8822.

What is Dermatology Center Of Northwest Indiana, PC's specialty?

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

What insurance does Dermatology Center Of Northwest Indiana, PC accept?

Health plans from CareSource list Dermatology Center Of Northwest Indiana, PC 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 Center Of Northwest Indiana, PC was last updated on January 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.