Individual provider Active NPI

Samantha J Haraszti, DO

  • Dermatology Physician
  • Jeffersonville, IN
National Provider Identifier
1073174991
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
02008549A Issued in IN
Practice address
265 Quartermaster CT
Jeffersonville, IN 47130-3669
Phone
(812) 282-8622
Fax
(812) 282-4332
NPI assigned
Jun 21, 2019
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 02008549A IN Primary
Dermatology Physician 207N00000X 06193 KY

Addresses

Primary practice location

265 Quartermaster CT
Jeffersonville, IN 47130-3669

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

501 S 2nd St
Louisville, KY 40202-2862
Phone (502) 583-7546

Other practice location 2

1660 S Columbian Way
Seattle, WA 98108-1532
Phone (206) 489-1195

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Samantha.Haraszti@forefrontdermatology.emadirect.md
Direct Messaging Address Samantha.Haraszti@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250806003387 IN Practitioner - Dermatology 4284969072 Reassigns benefits to 1 organization
I20250904000452 KY Practitioner - Dermatology 4284969072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, shared by 26 NPIs, 650 clinicians

Practice addresses (Care Compare)

265 Quartermaster CT
Jeffersonville, IN 47130-3669
Phone (812) 282-8622

501 S 2ND St
Louisville, KY 40202-2862
Phone (502) 583-7546

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions238
Removal or shaving of skin growth1-10
Skin biopsy78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02008549AINMDDermatology Physician
06193KYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jul 7, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jul 7, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jul 30, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

8325 S Emerson Ave
Ste C1
Indianapolis, IN 46237
Phone (317) 780-7400

265 Quartermaster Ct
Jeffersonville, IN 47130
Phone (812) 282-8622

303 S Walnut St
Seymour, IN 47274
Phone (812) 358-7705

501 S 2nd St
Louisville, KY 40202
Phone (502) 583-7546

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: samantha.haraszti@forefrontdermatology.emadirect.md

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1073174991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 QUARTERMASTER CT",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303669",
            "telephone_number": "812-282-8622",
            "fax_number": "812-282-4332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402022862",
            "country_code": "US",
            "telephone_number": "502-583-7546",
            "fax_number": "502-589-3429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1660 S Columbian Way",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981081532",
            "country_code": "US",
            "telephone_number": "206-489-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARASZTI",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "02008549A",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "06193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Samantha.Haraszti@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "501 S 2nd St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402022862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Samantha.Haraszti@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "265 Quartermaster Ct",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.