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L. J. BUCKEL MD INC
NPI 1467644344
Dermatology - Dermatopathology in Greenwood, IN

Active since August 14, 2007
92 S PARK BLVD, GREENWOOD, IN 46143(317) 889-7546(317) 889-2482 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About L. J. Buckel Md Inc NPPES

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

L. J. BUCKEL MD INC (NPI 1467644344) is a healthcare organization registered as a dermatopathology in Greenwood, Indiana and active in the NPI registry since August 2007. The organization lists Larry J Buckel, President, as its authorized official.

NPPES Registry Identity

NPI1467644344
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameL. J. BUCKEL MD INC
Location Address92 S PARK BLVDGreenwood, IN 46143-8836
Mailing Address92 S Park BlvdGreenwood, IN 46143-8836 · (317) 889-7546 · Fax (317) 889-2482
Phone(317) 889-7546
Fax(317) 889-2482
Organization SubpartNo
Authorized OfficialLarry J BuckelPresident · (317) 889-7546
Enumeration DateAugust 14, 2007
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1467644344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License✔ Licensed in IN · 01022110
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.
92 S PARK BLVD, Greenwood, IN 46143
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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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

L. J. Buckel Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20081219000137Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to L. J. Buckel MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Larry Buckel, MD
Dermatology
NPI 1811090939
53 SOUTH PARK BLVD
Greenwood, IN 46143
(317) 889-7546
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 L. J. Buckel MD Inc's NPI number?

The NPI number for L. J. Buckel MD Inc is 1467644344. It was assigned to this organization in the NPPES registry on August 14, 2007.

Where is L. J. Buckel MD Inc located?

L. J. Buckel MD Inc is located at 92 S Park Blvd, Greenwood, IN 46143. The listed phone number is (317) 889-7546.

What is L. J. Buckel MD Inc's specialty?

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

Is L. J. Buckel MD Inc enrolled in Medicare?

Yes. L. J. Buckel MD Inc is registered in the Medicare PECOS enrollment system.

When is L. J. Buckel MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through L. J. Buckel MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to L. J. Buckel MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for L. J. Buckel MD Inc was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.