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INDYDERM LLC
NPI 1497105191
Dermatology - Dermatopathology in Greenwood, IN

Active since June 14, 2016CLIA 15D2129231 · Microscopy
521 E COUNTY LINE RD STE E, GREENWOOD, IN 46143(317) 215-0928(317) 743-8148 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Indyderm Llc NPPES

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

INDYDERM LLC (NPI 1497105191) is a healthcare organization registered as a dermatopathology in Greenwood, Indiana and active in the NPI registry since June 2016. The organization holds a CLIA Microscopy certificate valid through April 16, 2027, maintains a secondary practice location in Indianapolis, and lists Emily Keller, Owner, as its authorized official.

NPPES Registry Identity

NPI1497105191
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameINDYDERM LLC
Location Address521 E COUNTY LINE RD STE EGreenwood, IN 46143-1066
Mailing Address521 E County Line Rd Ste EGreenwood, IN 46143-1066 · (317) 215-0928 · Fax (317) 743-8148
Phone(317) 215-0928
Fax(317) 743-8148
Organization SubpartNo
Authorized OfficialEmily KellerOwner · (317) 215-0928
Enumeration DateJune 14, 2016
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedJune 23, 2022
✔ NPI 1497105191 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 · 01072313A
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.

521 E COUNTY LINE RD STE E, Greenwood, IN 46143
Open in Google Maps ↗

Secondary Practice Location 1

Location 18936 Southpointe Dr, Suite B2Indianapolis, IN 46227-7507 · Phone (317) 215-0928 · Fax (317) 743-8148

Other Identifiers 1

Medicaid08029326IN

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 CareSource.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 for Provider-Performed Microscopy Procedures (PPMP) 15D2129231

Indy Derm, LLC · Greenwood, IN
Active · expires Apr 16, 2027
CLIA Number15D2129231
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorEmily C. Keller
Laboratory Phone(317) 215-0928
Laboratory LocationIndy Derm, LLC521 E County Line Road Suite E, Greenwood, IN 46143
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

ANNA HANDY
Physician Assistant
521 E COUNTY LINE RD STE E
GREENWOOD, IN 46143
Johnson County (317) 215-0928
EMILY CATHERINE KELLER M.D.
Dermatology (Dermatopathology)
521 E COUNTY LINE RD STE E
GREENWOOD, IN 46143
Johnson County (317) 215-0928
BRANDI NICOLE FRITSCHE FNP
Nurse Practitioner (Family)
521 E COUNTY LINE RD STE E
GREENWOOD, IN 46143
Johnson County (317) 215-0928

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 Indyderm LLC's NPI number?

The NPI number for Indyderm LLC is 1497105191. It was assigned to this organization in the NPPES registry on June 14, 2016.

Where is Indyderm LLC located?

Indyderm LLC is located at 521 E County Line Rd Ste E, Greenwood, IN 46143. The listed phone number is (317) 215-0928.

What is Indyderm LLC's specialty?

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

Does Indyderm LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D2129231) is associated with this NPI, valid through April 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Indyderm LLC accept?

Health plans from CareSource list Indyderm LLC 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 Indyderm LLC was last updated on February 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.