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UNIVERSITY DERMATOLOGY CENTER PC
NPI 1578615266
Specialist in Muncie, IN

Active since January 16, 2007CLIA Certified · 2 labs
2525 W UNIVERSITY AVE STE 402, MUNCIE, IN 47303(765) 747-6090(765) 747-5069 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About University Dermatology Center Pc NPPES

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

UNIVERSITY DERMATOLOGY CENTER PC (NPI 1578615266) is a healthcare organization registered as a specialist in Muncie, Indiana and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Alexander Zemtsov, Owner, as its authorized official.

NPPES Registry Identity

NPI1578615266
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUNIVERSITY DERMATOLOGY CENTER PC
Location Address2525 W UNIVERSITY AVE STE 402Muncie, IN 47303-3409
Mailing Address3500 W Purdue AveMuncie, IN 47304-6357 · (765) 747-6090 · Fax (765) 747-5069
Phone(765) 747-6090
Fax(765) 747-5069
Organization SubpartNo
Authorized OfficialAlexander ZemtsovOwner · (765) 747-6090
Enumeration DateJanuary 16, 2007
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1578615266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IN · 50003770A
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2525 W UNIVERSITY AVE STE 402, Muncie, IN 47303
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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 2

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 15D0898102

University Dermatology Center PC · Muncie, IN
Active · expires Apr 14, 2028
CLIA Number15D0898102
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorAlexander Zemtsov
Laboratory Phone(765) 747-6090
Laboratory LocationUniversity Dermatology Center PC3500 W Purdue Ave, Muncie, IN 47304
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.

Certificate of Compliance 15D1012312

University Dermatology Center PC · Richmond, IN
Active · expires Nov 14, 2027
CLIA Number15D1012312
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorAlexander Zemtsov
Laboratory Phone(765) 747-6090
Laboratory LocationUniversity Dermatology Center PC830 Sim Hodgin Parkway, Richmond, IN 47374
CLIA data matches this NPI record on: 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

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

MRS. LAINE ELAM PAC
Physician Assistant
2525 W UNIVERSITY AVE STE 402
MUNCIE, IN 47303
Delaware County (765) 747-6090

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 University Dermatology Center PC's NPI number?

The NPI number for University Dermatology Center PC is 1578615266. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is University Dermatology Center PC located?

University Dermatology Center PC is located at 2525 W University Ave Ste 402, Muncie, IN 47303. The listed phone number is (765) 747-6090.

What is University Dermatology Center PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does University Dermatology Center PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does University Dermatology Center PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list University Dermatology Center PC 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 University Dermatology Center PC was last updated on February 19, 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.