SKIN DERMATOLOGY, LLC
NPI 1386399749
Dermatology in Munster, IN

Q: What is Skin Dermatology, LLC's NPI number?

The NPI number for Skin Dermatology, LLC is 1386399749. It was assigned to this organization in the NPPES registry on February 15, 2022.

Q: What is Skin Dermatology, LLC's specialty?

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

Active since February 15, 2022CLIA 15D2295095 · Certificate of Compliance

1950 45TH ST STE 200, MUNSTER, IN 46321(219) 912-3376(219) 529-6267 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Skin Dermatology, Llc NPPES

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

SKIN DERMATOLOGY, LLC (NPI 1386399749) is a healthcare organization registered as a dermatology in Munster, Indiana and active in the NPI registry since February 2022. The organization holds a CLIA Certificate of Compliance certificate valid through July 21, 2028 and lists Namrata Shah, Partner, as its authorized official.

NPPES Registry Identity

NPI1386399749

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameSKIN DERMATOLOGY, LLC

Location Address1950 45TH ST STE 200Munster, IN 46321-3958

Mailing Address1950 45th St Ste 200Munster, IN 46321-3958 · (219) 912-3376 · Fax (219) 529-6267

Phone(219) 912-3376

Fax(219) 529-6267

Organization SubpartNo

Authorized OfficialNamrata ShahPartner · (312) 961-4067

Enumeration DateFebruary 15, 2022

NPPES CertifiedFebruary 15, 2022

✔ NPI 1386399749 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.

1950 45TH ST STE 200, Munster, IN 46321

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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

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 15D2295095

Skin Dermatology, LLC · Munster, IN

Active · expires Jul 21, 2028

CLIA Number15D2295095

Laboratory TypePhysician Office

Certificate Effective DateJuly 22, 2026

Certificate Expiration DateJuly 21, 2028

Laboratory DirectorTarun N. Kukreja

Laboratory Phone(312) 320-0328

Laboratory LocationSkin Dermatology, LLC1950 45th Street, Suite 200, Munster, IN 46321

CLIA data matches this NPI record on: Address Name

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 8

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

ERIC GRIFFIN PTA

Physical Therapy Assistant