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INDIGO DERMATOLOGY LLC
NPI 1659743094
Specialist in Melbourne, FL

Active since October 26, 2015CLIA Certified · 4 labs
675 S BABCOCK ST, MELBOURNE, FL 32901(321) 951-1010(321) 952-4038 Get Directions Write a Review

NPPES record last updated: July 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 4, 2019, May 18, 2016 (2 updates tracked since 2016).

About Indigo Dermatology Llc NPPES

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

INDIGO DERMATOLOGY LLC (NPI 1659743094) is a healthcare organization registered as a specialist in Melbourne, Florida and active in the NPI registry since October 2015. The organization holds 4 active CLIA laboratory certificates and lists Sumeet Thareja, Owner, as its authorized official.

NPPES Registry Identity

NPI1659743094
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINDIGO DERMATOLOGY LLC
Location Address675 S BABCOCK STMelbourne, FL 32901-1459
Mailing Address675 S Babcock StMelbourne, FL 32901-1459 · (321) 951-1010 · Fax (321) 952-4038
Phone(321) 951-1010
Fax(321) 952-4038
Organization SubpartNo
Authorized OfficialSumeet TharejaOwner · (321) 951-1010
Enumeration DateOctober 26, 2015
Last NPPES UpdateJuly 4, 20192 updates tracked since enumeration
✔ NPI 1659743094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME123157
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.
675 S BABCOCK ST, Melbourne, FL 32901
Open in Google Maps ↗

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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D2107105

Indigo Dermatology LLC · Melbourne, FL
Active · expires Dec 19, 2026
CLIA Number10D2107105
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorSumeet K. Thareja
Laboratory Phone(321) 951-1010
Laboratory LocationIndigo Dermatology LLC675 S Babcock St, Melbourne, FL 32901
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 Waiver 10D2331399

Indigo Dermatology LLC · Palm Bay, FL
Active · expires Sep 30, 2027
CLIA Number10D2331399
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorSumeet Thareja
Laboratory Phone(321) 951-1010
Laboratory LocationIndigo Dermatology LLC5200 Babcock St NE, Palm Bay, FL 32905
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2330913

Indigo Dermatology, LLC · Tampa, FL
Active · expires Sep 23, 2027
CLIA Number10D2330913
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorThareja Sumeet
Laboratory Phone(321) 951-1010
Laboratory LocationIndigo Dermatology, LLC375 12th Street Ste 3, Tampa, FL 33602
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 10D2268476

Indigo Dermatology LLC · Tampa, FL
Active · expires Mar 29, 2027
CLIA Number10D2268476
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorSumeet Thareja
Laboratory Phone(321) 951-1010
Laboratory LocationIndigo Dermatology LLC14499 N Dale Mabry Hwy Ste 129-S, Tampa, FL 33618
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 11

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

MRS. SHALINI THAREJA MD
Dermatology
675 S BABCOCK ST
MELBOURNE, FL 32901
Brevard County (321) 951-1010
QUALITY MEDICAL CARE PA
Internal Medicine (Interventional Cardiology)
675 S BABCOCK ST
MELBOURNE, FL 32901
Brevard County (321) 951-8695
SEIN WIN MD
Internal Medicine
675 S BABCOCK ST
MELBOURNE, FL 32901
Brevard County (321) 952-1192
DAVID J POCOSKI MD
Internal Medicine (Cardiovascular Disease)
675 S BABCOCK ST
MELBOURNE, FL 32901
Brevard County (321) 951-1010
MONICA WISE ARNP
Nurse Practitioner (Family)
675 S BABCOCK ST
MELBOURNE, FL 32901
Brevard County (321) 951-1010
HEATHER M WEEKS ARNP
Nurse Practitioner
675 S BABCOCK ST
MELBOURNE, FL 32901
Brevard County (321) 951-1010
MRS. AMELIA LOIS LAMMERS APRN
Nurse Practitioner (Adult Health)
675 S BABCOCK ST
MELBOURNE, FL 32901
Brevard County (321) 951-1010
ANDREA JEAN MEIER ARNP
Nurse Practitioner (Critical Care Medicine)
675 S BABCOCK ST, SUITE 1
MELBOURNE, FL 32901
Brevard County (321) 951-1010

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 Indigo Dermatology LLC's NPI number?

The NPI number for Indigo Dermatology LLC is 1659743094. It was assigned to this organization in the NPPES registry on October 26, 2015.

Where is Indigo Dermatology LLC located?

Indigo Dermatology LLC is located at 675 S Babcock St, Melbourne, FL 32901. The listed phone number is (321) 951-1010.

What is Indigo Dermatology LLC's specialty?

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

Does Indigo Dermatology LLC 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 Indigo Dermatology LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Indigo 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 Indigo Dermatology LLC was last updated on July 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.