Radiant Dermatology Associates LLC
NPI 1720790330 · Dermatology Physician · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Radiant Dermatology Associates LLC is a Dermatology Physician organization in Fort Wayne, IN (NPI 1720790330).
Provider details
- NPI number
- 1720790330
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dara Spearman, Owner(260) 487-4065
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
3 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
- 2022-12-15
- Last updated
- 2022-12-15
- Certified
- 2022-12-15
Frequently asked questions
- What is Radiant Dermatology Associates LLC's NPI number?
- Radiant Dermatology Associates LLC's National Provider Identifier (NPI) is 1720790330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Radiant Dermatology Associates LLC?
- Radiant Dermatology Associates LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Radiant Dermatology Associates LLC located?
- Radiant Dermatology Associates LLC's practice location on file with NPPES is 722 E Till Rd Ste 102, Fort Wayne, IN 46825-2066.
- What is Radiant Dermatology Associates LLC's phone number?
- The practice phone number listed in the NPPES registry for Radiant Dermatology Associates LLC is (260) 487-4065.
- Does Radiant Dermatology Associates LLC accept Medicare?
- Radiant Dermatology Associates 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 Radiant Dermatology Associates LLC?
- The authorized official listed on Radiant Dermatology Associates LLC's NPPES record is Dara Spearman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Radiant Dermatology Associates LLC's NPI active?
- Yes — Radiant Dermatology Associates LLC's NPI (1720790330) is active in the NPPES registry as of the last update on 2022-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.