SUBURBAN DERMATOLOGY LLC
NPI 1528333432
Dermatology in Kokomo, IN

Active since March 12, 2012
1542 S DIXON RD, KOKOMO, IN 46902(317) 418-3227(317) 844-5746 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Suburban Dermatology Llc NPPES

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

SUBURBAN DERMATOLOGY LLC (NPI 1528333432) is a healthcare organization registered as a dermatology in Kokomo, Indiana and active in the NPI registry since March 2012. The organization lists Josephine Nkechi Okwechime, Owner, as its authorized official.

NPPES Registry Identity

NPI1528333432
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSUBURBAN DERMATOLOGY LLC
Location Address1542 S DIXON RDKokomo, IN 46902-7318
Mailing Address1542 S Dixon RdKokomo, IN 46902-7318 · (317) 418-3227 · Fax (317) 844-5746
Fax(317) 844-5746
Organization SubpartNo
Authorized OfficialJosephine Nkechi OkwechimeOwner · (317) 418-3227
Enumeration DateMarch 12, 2012
Last NPPES UpdateApril 18, 2012
✔ NPI 1528333432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IN · 01052094A
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.
1542 S DIXON RD, Kokomo, IN 46902

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suburban Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Suburban Dermatology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1952592156
1542 S DIXON RD
Kokomo, IN 46902
(765) 450-7314
✔ PECOS✔ Accepts Medicare0.1 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 Suburban Dermatology LLC's NPI number?

The NPI number for Suburban Dermatology LLC is 1528333432. It was assigned to this organization in the NPPES registry on March 12, 2012.

Where is Suburban Dermatology LLC located?

Suburban Dermatology LLC is located at 1542 S Dixon Rd, Kokomo, IN 46902. The listed phone number is (317) 418-3227.

What is Suburban Dermatology LLC's specialty?

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

Is Suburban Dermatology LLC enrolled in Medicare?

Yes. Suburban Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Suburban Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Suburban Dermatology LLC. 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.

What insurance does Suburban Dermatology LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Suburban Dermatology 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 Suburban Dermatology LLC was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.