Indigo Dermatology LLC
NPI 1659743094ActiveOrganization· Specialist· Melbourne, FL
Specialist in Melbourne, Florida, registered in NPPES in October 2015. The authorized official on file is Sumeet Thareja, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659743094 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2015 |
| Last updated in NPPES | Jul 4, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | ME123157 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Specialist providers in Melbourne
- 1841293859
- 1588101604
- 1801224290
- 1467551762
- 1356580690
- 1588906176
- 1184805491
- 1861748121
- 1649442047
- 1023812914
- 1457422818
- 1962809897