DERMATOLOGY ASSOCIATES OF INDIANA PC
NPI 1861613564
Dermatology in Indianapolis, IN
About Dermatology Associates Of Indiana Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY ASSOCIATES OF INDIANA PC (NPI 1861613564) is a healthcare organization registered as a dermatology in Indianapolis, Indiana and active in the NPI registry since May 2007. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Annette M Dinneen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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)
Dermatology Associates Of Indiana Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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 Dermatology Associates Of Indiana PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Indianapolis, IN 46260
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 3
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 15D0353637
Dermatology Associates Of Indiana · Indianapolis, INCertificate of Compliance 15D0686351
Dermatology Associates Of Indiana · Indianapolis, INCertificate of Compliance 15D2338681
Dermatology Associates Of Indiana · Noblesville, 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 Associates Of Indiana PC's NPI number?
The NPI number for Dermatology Associates Of Indiana PC is 1861613564. It was assigned to this organization in the NPPES registry on May 1, 2007.
Where is Dermatology Associates Of Indiana PC located?
Dermatology Associates Of Indiana PC is located at 8433 Harcourt Rd Suite 310, Indianapolis, IN 46260. The listed phone number is (317) 338-9393.
What is Dermatology Associates Of Indiana PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology Associates Of Indiana PC enrolled in Medicare?
Yes. Dermatology Associates Of Indiana PC is registered in the Medicare PECOS enrollment system.
When is Dermatology Associates Of Indiana 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 December 31, 2026. 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 Dermatology Associates Of Indiana PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Dermatology Associates Of Indiana PC, in Dermatology, Micrographic Dermatologic Surgery (MDS) 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Associates Of Indiana PC hold CLIA laboratory certificates?
Yes. 3 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 Associates Of Indiana PC accept?
Health plans from Anthem Blue Cross and Blue Shield list Dermatology Associates Of Indiana 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 Dermatology Associates Of Indiana PC was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 Associates Of Indiana Pc · NPI 1861613564
Dermatology organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since May 1, 2007.
## Identity
- **NPI:** 1861613564 (Entity type: Organization)
- **Enumerated:** May 1, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Annette Dinneen, OWNER
## Practice location
- **Address:** 8433 HARCOURT RD, SUITE 310, Indianapolis, IN 46260-2190
- **Phone:** (317) 338-9393 · **Fax:** (317) 338-9399
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), Micrographic Dermatologic Surgery (MDS) (1), Nurse Practitioner (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2026
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861613564) · Data from the CMS NPPES public registry.