Eagle Creek Dermatology
NPI 1053561928 · Clinical & Laboratory Dermatological Immunology Physician · Indianapolis, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eagle Creek Dermatology is a Clinical & Laboratory Dermatological Immunology Physician organization in Indianapolis, IN (NPI 1053561928).
Provider details
- NPI number
- 1053561928
- Entity type
- Organization
- Primary specialty
- Clinical & Laboratory Dermatological Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ingrida Ozols, Partner(317) 329-7050
- License
- 01027554 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-09-26
- Last updated
- 2013-09-11
Frequently asked questions
- What is Eagle Creek Dermatology's NPI number?
- Eagle Creek Dermatology's National Provider Identifier (NPI) is 1053561928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagle Creek Dermatology?
- Eagle Creek Dermatology is classified in the NPPES registry as Clinical & Laboratory Dermatological Immunology Physician (Allopathic & Osteopathic Physicians).
- Where is Eagle Creek Dermatology located?
- Eagle Creek Dermatology's practice location on file with NPPES is 6820 Parkdale Pl, Indianapolis, IN 46254-6600.
- What is Eagle Creek Dermatology's phone number?
- The practice phone number listed in the NPPES registry for Eagle Creek Dermatology is (317) 329-7050.
- Does Eagle Creek Dermatology accept Medicare?
- Eagle Creek Dermatology is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eagle Creek Dermatology?
- The authorized official listed on Eagle Creek Dermatology's NPPES record is Ingrida Ozols, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagle Creek Dermatology's NPI active?
- Yes — Eagle Creek Dermatology's NPI (1053561928) is active in the NPPES registry as of the last update on 2013-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.