Michigan City Dermatology and Vein Clinic LLC
NPI 1962027581ActiveOrganization· Dermatology· Michigan City, IN
Dermatology in Michigan City, Indiana, registered in NPPES in June 2020. The authorized official on file is Vassilios Athanasios Dimitropoulos, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962027581 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2020 |
| Last updated in NPPES | Jun 9, 2020 |
| Certified by provider | Jun 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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) |
|---|
Other Dermatology providers in Michigan City
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