DERMATOLOGY CENTER OF SOUTHERN INDIANA, P.C.
NPI 1659451755
Specialist in Bloomington, IN
About Dermatology Center Of Southern Indiana, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY CENTER OF SOUTHERN INDIANA, P.C. (NPI 1659451755) is a healthcare organization registered as a specialist in Bloomington, Indiana and active in the NPI registry since October 2006. The organization holds 4 active CLIA laboratory certificates and lists Mary Kathleen Mctigue, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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)
Dermatology Center Of Southern Indiana, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Dermatology Center Of Southern Indiana, P.C., which bills Medicare for the services they deliver. Of these, 10 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
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 4
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 15D0360649
Dermatology Center Of Southern Indiana PC · Bloomington, INCertificate of Compliance 15D2291385
Dermatology Center Of Southern Indiana, PC · Bloomington, INCertificate for Provider-Performed Microscopy Procedures (PPMP) 15D2284989
Dermatology Center Of Southern Indiana, PC · Bedford, INCertificate for Provider-Performed Microscopy Procedures (PPMP) 15D2284991
Dermatology Center Of Southern Indiana PC · New Whiteland, 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 Dermatology Center Of Southern Indiana, P.C.'s NPI number?
The NPI number for Dermatology Center Of Southern Indiana, P.C. is 1659451755. It was assigned to this organization in the NPPES registry on October 16, 2006.
Where is Dermatology Center Of Southern Indiana, P.C. located?
Dermatology Center Of Southern Indiana, P.C. is located at 1200 S Rogers St, Bloomington, IN 47403. The listed phone number is (812) 339-6434.
What is Dermatology Center Of Southern Indiana, P.C.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Dermatology Center Of Southern Indiana, P.C. enrolled in Medicare?
Yes. Dermatology Center Of Southern Indiana, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Center Of Southern Indiana, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Center Of Southern Indiana, P.C.. 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. The largest specialties are Dermatology (9) and Nurse Practitioner (2). Of these, 10 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Center Of Southern Indiana, P.C. hold CLIA laboratory certificates?
Yes. 4 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 Dermatology Center Of Southern Indiana, P.C. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Dermatology Center Of Southern Indiana, P.C. 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 Dermatology Center Of Southern Indiana, P.C. was last updated on April 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dermatology Center Of Southern Indiana, P.c. · NPI 1659451755
Specialist organization in Bloomington, Indiana. Organization record, active in the CMS NPPES registry since October 16, 2006.
## Identity
- **NPI:** 1659451755 (Entity type: Organization)
- **Enumerated:** October 16, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Mary Mctigue, PRESIDENT
## Practice location
- **Address:** 1200 S ROGERS ST, Bloomington, IN 47403-4792
- **Phone:** (812) 339-6434 · **Fax:** (812) 331-0196
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (9), Nurse Practitioner (2); 10 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 11, 2016
- **Other identifiers:** Medicare ID-Type Unspecified 562570 (IN); Medicaid 100182850 (IN)
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659451755) · Data from the CMS NPPES public registry.