OrganizationActive
Longevity Institute of Indiana,p.c.
NPI 1487842860 · Dermatology Physician · Indianapolis, IN
Provider details
- NPI number
- 1487842860
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Arthur Sumrall, Owner(317) 574-1677
- License
- 01021582A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
10291 N Meridian St
Suite 300
Indianapolis, IN 46290-1076
Phone: (317) 574-1677
Fax: (317) 574-1688
Approximate (ZIP-level) locationGet directions
Mailing address
10291 N Meridian St
Indianapolis, IN 46290-1076
Registry dates
- Enumerated
- 2007-10-10
- Last updated
- 2014-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.