APPLEGARTH DERMATOLOGY PC
NPI 1619010626
Specialist in Valparaiso, IN
About Applegarth Dermatology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
APPLEGARTH DERMATOLOGY PC (NPI 1619010626) is a healthcare organization registered as a specialist in Valparaiso, Indiana and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists William G Applegarth, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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)
Applegarth Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 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.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Applegarth Dermatology PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 15D0948583
Applegarth Dermatology PC · Valparaiso, INCertificate for Provider-Performed Microscopy Procedures (PPMP) 15D0948584
Applegarth Dermatology PC · La Porte, INFrequently 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 Applegarth Dermatology PC's NPI number?
The NPI number for Applegarth Dermatology PC is 1619010626. It was assigned to this organization in the NPPES registry on February 15, 2007.
Where is Applegarth Dermatology PC located?
Applegarth Dermatology PC is located at 1861 S Sturdy Rd, Valparaiso, IN 46383. The listed phone number is (219) 548-0360.
What is Applegarth Dermatology PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Applegarth Dermatology PC enrolled in Medicare?
Yes. Applegarth Dermatology PC is registered in the Medicare PECOS enrollment system.
When is Applegarth Dermatology PC'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 January 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 Applegarth Dermatology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Applegarth Dermatology PC, in Dermatology and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Applegarth Dermatology 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 Applegarth Dermatology PC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Applegarth Dermatology 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 Applegarth Dermatology PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Applegarth Dermatology Pc · NPI 1619010626
Specialist organization in Valparaiso, Indiana. Organization record, active in the CMS NPPES registry since February 15, 2007.
## Identity
- **NPI:** 1619010626 (Entity type: Organization)
- **Enumerated:** February 15, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** William Applegarth, PRESIDENT
## Practice location
- **Address:** 1861 S STURDY RD, Valparaiso, IN 46383
- **Phone:** (219) 548-0360 · **Fax:** (219) 548-0358
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), Nurse Practitioner (2); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619010626) · Data from the CMS NPPES public registry.