BOOTH DERMATOLOGY GROUP, PC
NPI 1346220563
Dermatology in Zionsville, IN

Q: What is Booth Dermatology Group, PC's NPI number?

The NPI number for Booth Dermatology Group, PC is 1346220563. It was assigned to this organization in the NPPES registry on January 23, 2006.

Q: What is Booth Dermatology Group, PC's specialty?

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

Active since January 23, 2006CLIA 15D0691800 · Certificate of Compliance

12050 N MICHIGAN RD, ZIONSVILLE, IN 46077(317) 848-2427(317) 848-2434 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2020, Jun 2, 2020 (2 updates tracked since 2020).

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About Booth Dermatology Group, Pc NPPES

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

BOOTH DERMATOLOGY GROUP, PC (NPI 1346220563) is a healthcare organization registered as a dermatology in Zionsville, Indiana and active in the NPI registry since January 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 12, 2027 and lists Sally A Booth, President, as its authorized official.

NPPES Registry Identity

NPI1346220563

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameBOOTH DERMATOLOGY GROUP, PC

Location Address12050 N MICHIGAN RDZionsville, IN 46077-8782

Mailing Address12050 N Michigan RdZionsville, IN 46077-8782 · (317) 848-2427 · Fax (317) 848-2434

Phone(317) 848-2427

Fax(317) 848-2434

Organization SubpartNo

Authorized OfficialSally A BoothPresident · (317) 848-2427

Enumeration DateJanuary 23, 2006

Last NPPES UpdateJune 15, 20202 updates tracked since enumeration

NPPES CertifiedJune 15, 2020

✔ NPI 1346220563 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.

12050 N MICHIGAN RD, Zionsville, IN 46077

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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 and more.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 15D0691800

Booth Dermatology Group, PC · Zionsville, IN

Active · expires Aug 12, 2027

CLIA Number15D0691800

Laboratory TypePhysician Office

Certificate Effective DateAugust 13, 2025

Certificate Expiration DateAugust 12, 2027

Laboratory DirectorSally A. Booth

Laboratory Phone(317) 848-2427

Laboratory LocationBooth Dermatology Group, PC12050 N Michigan Rd, Zionsville, IN 46077

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 5

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

MRS. MEGHAN CARLSTEDT PA-C

Physician Assistant (Medical)