Skip to content

Northern Indiana Dermatology and Skin Surgery Center

NPI 1639289093ActiveOrganization· Dermatology, MOHS-Micrographic Surgery· Portage, IN

Dermatology, MOHS-Micrographic Surgery in Portage, Indiana, registered in NPPES in August 2006. The authorized official on file is Ruchik S. Desai, Physician.

Overview

NPI1639289093
StatusActive
Entity typeOrganization
NPI issuedAug 30, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology, MOHS-Micrographic Surgery Primary207ND0101X207N00000XIN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dermatology, MOHS-Micrographic Surgery providers in Portage

All Dermatology, MOHS-Micrographic Surgery providers in Indiana