Indyderm LLC
NPI 1497105191 · Dermatopathology Physician · Greenwood, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Indyderm LLC is a Dermatopathology Physician organization in Greenwood, IN (NPI 1497105191).
Provider details
- NPI number
- 1497105191
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Emily Keller, Owner(317) 215-0928
- License
- 01072313A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 8936 Southpointe DrSuite B2Indianapolis, IN 46227-7507Phone: (317) 215-0928Fax: (317) 743-8148
Registry dates
- Enumerated
- 2016-06-14
- Last updated
- 2024-02-19
- Certified
- 2022-06-23
Frequently asked questions
- What is Indyderm LLC's NPI number?
- Indyderm LLC's National Provider Identifier (NPI) is 1497105191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indyderm LLC?
- Indyderm LLC is classified in the NPPES registry as Dermatopathology Physician (Allopathic & Osteopathic Physicians).
- Where is Indyderm LLC located?
- Indyderm LLC's practice location on file with NPPES is 521 E County Line Rd Ste E, Greenwood, IN 46143-1066.
- What is Indyderm LLC's phone number?
- The practice phone number listed in the NPPES registry for Indyderm LLC is (317) 215-0928.
- Does Indyderm LLC accept Medicare?
- Indyderm LLC 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 Indyderm LLC?
- The authorized official listed on Indyderm LLC's NPPES record is Emily Keller, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indyderm LLC's NPI active?
- Yes — Indyderm LLC's NPI (1497105191) is active in the NPPES registry as of the last update on 2024-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.