Booth Dermatology Group, PC
NPI 1346220563ActiveOrganization· Dermatology· Zionsville, IN
Dermatology in Zionsville, Indiana, registered in NPPES in January 2006. The authorized official on file is Sally A. Booth, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1346220563 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2006 |
| Last updated in NPPES | Jun 15, 2020 |
| Certified by provider | Jun 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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