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COMPREHENSIVE DERMATOLOGY
NPI 1689660946
Dermatology in Avon, IN

Active since September 22, 2005
8244 E US HIGHWAY 36, STE 1220, AVON, IN 46123(317) 272-1366(317) 272-1388 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Comprehensive Dermatology NPPES

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

COMPREHENSIVE DERMATOLOGY (NPI 1689660946) is a healthcare organization registered as a dermatology in Avon, Indiana and active in the NPI registry since September 2005. The organization lists David Levi Nathan, President, as its authorized official.

NPPES Registry Identity

NPI1689660946
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOMPREHENSIVE DERMATOLOGY PC
Location Address8244 E US HIGHWAY 36, STE 1220Avon, IN 46123-9575
Mailing Address8244 E Us Highway 36, Ste 1220Avon, IN 46123-9575 · (317) 272-1366 · Fax (317) 272-1388
Phone(317) 272-1366
Fax(317) 272-1388
Organization SubpartNo
Authorized OfficialDavid Levi NathanPresident · (317) 272-1366
Enumeration DateSeptember 22, 2005
Last NPPES UpdateDecember 18, 2007
✔ NPI 1689660946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IN · 01051097
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.
8244 E US HIGHWAY 36, Avon, IN 46123
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Other Names 1

Doing Business AsComprehensive Dermatology

Other Identifiers 2

Medicare UPING77381
Medicare PIN144610

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.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)

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

Medicare Revalidation Due Date

Revalidation due by February 28, 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.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20071211000244Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

David Nathan, MD
Dermatology
NPI 1619963998
8244 E US HIGHWAY 36 SUITE 1220
Avon, IN 46123
(317) 272-1366
✔ PECOS✔ Accepts MedicareSame address

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

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 15D0972137

Comprehensive Dermatology PC · Avon, IN
Expired · Oct 26, 2026
CLIA Number15D0972137
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorDr. David L. Nathan
Laboratory Phone(317) 272-1366
Laboratory LocationComprehensive Dermatology PC8244 E Us 36 Suite 1220, Avon, IN 46123
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.

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 Comprehensive Dermatology PC's NPI number?

The NPI number for Comprehensive Dermatology PC is 1689660946. It was assigned to this organization in the NPPES registry on September 22, 2005. The provider is doing business as Comprehensive Dermatology.

Where is Comprehensive Dermatology PC located?

Comprehensive Dermatology PC is located at 8244 E Us Highway 36 Ste 1220, Avon, IN 46123. The listed phone number is (317) 272-1366.

What is Comprehensive Dermatology PC's specialty?

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

Is Comprehensive Dermatology PC enrolled in Medicare?

Yes. Comprehensive Dermatology PC is registered in the Medicare PECOS enrollment system.

When is Comprehensive 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 February 28, 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 Comprehensive Dermatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Comprehensive Dermatology PC. 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 Comprehensive Dermatology PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Comprehensive 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 Comprehensive Dermatology PC was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.