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MICHIGAN CITY DERMATOLOGY AND VEIN CLINIC LLC
NPI 1962027581
Dermatology in Michigan City, IN

Active since June 09, 2020CLIA 15D2210231 · Certificate of Compliance
10282 W 400 N, MICHIGAN CITY, IN 46360(773) 351-2862(773) 358-2767 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michigan City Dermatology And Vein Clinic Llc NPPES

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

MICHIGAN CITY DERMATOLOGY AND VEIN CLINIC LLC (NPI 1962027581) is a healthcare organization registered as a dermatology in Michigan City, Indiana and active in the NPI registry since June 2020. The organization holds a CLIA Certificate of Compliance certificate valid through September 27, 2027 and lists Vassilios Athanasios Dimitropoulos, President, as its authorized official.

NPPES Registry Identity

NPI1962027581
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMICHIGAN CITY DERMATOLOGY AND VEIN CLINIC LLC
Location Address10282 W 400 NMichigan City, IN 46360-9470
Mailing Address745 S Park AveHinsdale, IL 60521-4645 · (773) 351-2862 · Fax (773) 358-2767
Phone(773) 351-2862
Fax(773) 358-2767
Organization SubpartNo
Authorized OfficialVassilios Athanasios DimitropoulosPresident · (773) 351-2862
Enumeration DateJune 9, 2020
NPPES CertifiedJune 9, 2020
✔ NPI 1962027581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
10282 W 400 N, Michigan City, IN 46360
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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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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 15D2210231

Michigan City Dermatology And Vein Clinic · Michigan City, IN
Active · expires Sep 27, 2027
CLIA Number15D2210231
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorVassilios Dimitropoulos
Laboratory Phone(219) 364-5200
Laboratory LocationMichigan City Dermatology And Vein Clinic10282 W 400 N, Michigan City, IN 46360
CLIA data matches this NPI record on: Address Name
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

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

VASSILIOS A. DIMITROPOULOS M.D.
Dermatology
10282 W 400 N
MICHIGAN CITY, IN 46360
Laporte County (773) 351-2862

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 Michigan City Dermatology And Vein Clinic LLC's NPI number?

The NPI number for Michigan City Dermatology And Vein Clinic LLC is 1962027581. It was assigned to this organization in the NPPES registry on June 9, 2020.

Where is Michigan City Dermatology And Vein Clinic LLC located?

Michigan City Dermatology And Vein Clinic LLC is located at 10282 W 400 N, Michigan City, IN 46360. The listed phone number is (773) 351-2862.

What is Michigan City Dermatology And Vein Clinic LLC's specialty?

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

Does Michigan City Dermatology And Vein Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 15D2210231) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michigan City Dermatology And Vein Clinic LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Michigan City Dermatology And Vein Clinic 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 Michigan City Dermatology And Vein Clinic LLC was last updated on June 9, 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.