ELEVATED DERMATOLOGY & MEDSPA CORP
NPI 1235706946
Dermatology - Dermatopathology in Indianapolis, IN

Active since June 10, 2021
8240 NAAB RD STE 360, INDIANAPOLIS, IN 46260(317) 961-6396 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2021, Jul 19, 2021, Jul 16, 2021 and 1 more (4 updates tracked since 2021).

About Elevated Dermatology & Medspa Corp NPPES

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

ELEVATED DERMATOLOGY & MEDSPA CORP (NPI 1235706946) is a healthcare organization registered as a dermatopathology in Indianapolis, Indiana and active in the NPI registry since June 2021. The organization lists Larry Zhao, Ceo, Md, as its authorized official.

NPPES Registry Identity

NPI1235706946
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameELEVATED MEDSPA CORP
Location Address8240 NAAB RD STE 360Indianapolis, IN 46260-1987
Mailing Address8240 Naab Rd Ste 360Indianapolis, IN 46260-1987 · (317) 961-6396
Organization SubpartNo
Authorized OfficialLarry ZhaoCeo, Md · (317) 961-6396
Enumeration DateJune 10, 2021
Last NPPES UpdateAugust 9, 20214 updates tracked since enumeration
NPPES CertifiedAugust 9, 2021
NPI 1235706946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedHomeopathTaxonomy 175L00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X
Also ListedClinic/Center · ResearchTaxonomy 261QR1100X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
8240 NAAB RD STE 360, Indianapolis, IN 46260

Other Names 5

Doing Business AsElevated Dermatology & Medspa Corp
Doing Business AsElevated Dermpath Corp
Doing Business AsElevated Dermatology& Medspa Corp
Doing Business AsIndy Dermatology Inc.
Doing Business AsLei Kay Med Inc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
8240 NAAB RD STE 360
INDIANAPOLIS, IN 46260
Physician Assistant (Medical)
8240 NAAB RD STE 360
INDIANAPOLIS, IN 46260
Psychiatry & Neurology (Psychiatry)
8240 NAAB RD STE 360
INDIANAPOLIS, IN 46260

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 Elevated Medspa Corp's NPI number?

The NPI number for Elevated Medspa Corp is 1235706946. It was assigned to this organization in the NPPES registry on June 10, 2021. The provider is doing business as Elevated Dermatology & Medspa Corp, Elevated DermPath Corp, Elevated Dermatology& MedSpa Corp and Indy Dermatology Inc.. Additional names are listed in the Other Names section above.

Where is Elevated Medspa Corp located?

Elevated Medspa Corp is located at 8240 Naab Rd Ste 360, Indianapolis, IN 46260. The listed phone number is (317) 961-6396.

What is Elevated Medspa Corp's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

When was this NPI record last updated?

The NPPES record for Elevated Medspa Corp was last updated on August 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.