Northern Indiana Dermatology and Skin Surgery Center
NPI 1639289093 · MOHS-Micrographic Surgery Physician · Portage, IN
Northern Indiana Dermatology and Skin Surgery Center is a MOHS-Micrographic Surgery Physician organization in Portage, IN (NPI 1639289093).
Provider details
- NPI number
- 1639289093
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ruchik Desai, Physician(219) 764-3600
- License
- 207N00000X (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
19 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
- 2006-08-30
- Last updated
- 2020-08-22
Frequently asked questions
- What is Northern Indiana Dermatology and Skin Surgery Center's NPI number?
- Northern Indiana Dermatology and Skin Surgery Center's National Provider Identifier (NPI) is 1639289093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Indiana Dermatology and Skin Surgery Center?
- Northern Indiana Dermatology and Skin Surgery Center is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Northern Indiana Dermatology and Skin Surgery Center located?
- Northern Indiana Dermatology and Skin Surgery Center's practice location on file with NPPES is 3190 Lancer St, Portage, IN 46368-4488.
- What is Northern Indiana Dermatology and Skin Surgery Center's phone number?
- The practice phone number listed in the NPPES registry for Northern Indiana Dermatology and Skin Surgery Center is (219) 764-3600.
- Who is the authorized official for Northern Indiana Dermatology and Skin Surgery Center?
- The authorized official listed on Northern Indiana Dermatology and Skin Surgery Center's NPPES record is Ruchik Desai, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Indiana Dermatology and Skin Surgery Center's NPI active?
- Yes — Northern Indiana Dermatology and Skin Surgery Center's NPI (1639289093) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.